MS. MICHELLE R. WILLARD (NPI# 1245539477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245539477 |
| Entity Type | Individual |
| Full Name | MS. MICHELLE R. WILLARD |
| Credential | M.A. |
| Practice Address |
1 Grist Mill Ln Simsbury CT 06070-2485 |
| Mailing Address |
31 Firetown Rd West Granby CT 06090-1612 |
| Practice Telephone | 8603252176 |
| Mailing Telephone | 8603252176 |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2016 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1 GRIST MILL LN |
| City | SIMSBURY |
| State | CT |
| Zip Code | 06070-2485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174707731 | Hopmeadow Chiropractic of Simsbury, LLC | Chiropractor | 1 Grist Mill Ln, Simsbury, CT 06070-2485 | 2007-12-19 |
| 1265950935 | Spectrum Counseling and Family Services, LLC | Community/Behavioral Health | 1 Grist Mill Ln, Simsbury, CT 06070-2485 | 2017-09-01 |
| 1396292983 | Jennifer Delia Dimaio | Social Worker | 1 Grist Mill Ln, Simsbury, CT 06070-2485 | 2016-09-01 |
| 1538564885 | Coping Skills, LLC | Community/Behavioral Health | 1 Grist Mill Ln, Simsbury, CT 06070-2485 | 2014-10-29 |
| 1760700439 | Linda Yates | Social Worker | 1 Grist Mill Ln, Simsbury, CT 06070-2485 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225450620 | Nataly Edmee Lapin | Counselor | 1243 Hopmeadow St Ste D, Simsbury, CT 06070 | 2014-01-20 |
| 1689950545 | Mary Beth Walsh | Pharmacist | 540 Bushy Hill Road, Simsbury, CT 06070 | 2011-10-24 |
| 1437335700 | Lisa Hope Cooperman | Dietitian, Registered | 8 Wilcox St, Simsbury, CT 06070 | 2008-01-16 |
| 1790974657 | State of Connecticut | Durable Medical Equipment & Medical Supplies | 381 Hopmeadow Street, Simsbury, CT 06070 | 2007-10-17 |
| 1104025378 | Michelle-lisa Weller Voegtle | Counselor | 2 Westridge Drive, Simsbury, CT 06070 | 2007-07-17 |
| 1285851287 | Richard Connolly-walker | Chiropractor | 530 Bushy Hill Road, Suite 200, Simsbury, CT 06070 | 2007-04-19 |
| 1801012943 | Eastern Rehabilitation Network | Physical Therapist | 200 Hopmeadow Street, Eastern Rehabilitation Network, Simsbury, CT 06070 | 2007-04-17 |
| 1104049956 | Philip Emil Pilon | Dentist | 625 Hopmeadow Street, Simsbury, CT 06070 | 2007-04-10 |
| 1215054929 | Valley Psychiatry LLC | Nurse Practitioner | 542 Hopmeadow St, Simsbury, CT 06070 | 2007-03-26 |
| 1225162522 | Anthony J Zukowski | Physical Therapist | 923 Hopmeadow Street, Simsbury, CT 06070 | 2007-03-16 |
| Find all providers in zip 06070 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073725941 | Karen Lynne Mahoney | Psychologist | 916 Hopmeadow St, Suite A, Simsbury, CT 06070-1825 | 2007-05-04 |
| 1588606768 | Sarah Jean Gamble | Psychologist | 920 Hopmeadow St, Simsbury, CT 06070-1825 | 2006-06-12 |
| 1174565550 | Simsbury Psychotherapy, LLC | Psychologist | 920 Hopmeadow St, Simsbury, CT 06070-1825 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.