AVALON PSYCHOLOGICAL GROUP, P.C. (NPI# 1245561463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245561463 |
| Entity Type | Organization |
| Organization Name | AVALON PSYCHOLOGICAL GROUP, P.C. |
| Practice Address |
664 Prospect Ave Hartford CT 06105-4203 |
| Practice Telephone | 8605581317 |
| Mailing Telephone | 8605581317 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | DR. MARK S. BRAUNSDORF (PRESIDENT) |
| Authorized Official Telephone | 8605581317 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1739 | CT | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | AVALON PSYCHOLOGICAL GROUP, P.C. | 664 Prospect Avenue, Hartford, CT 06105 |
| Street Address |
664 PROSPECT AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073552865 | Diane M Bray | Clinical Nurse Specialist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2006-06-06 |
| 1245681386 | Carlita Francine Elias | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2016-06-30 |
| 1407083843 | Jeffrey A Asmar LLC | Community/Behavioral Health | 664 Prospect Ave, Hartford, CT 06105-4203 | 2009-06-11 |
| 1588828644 | Catherine Tufano | Counselor | 664 Prospect Ave, Hartford, CT 06105 | 2008-07-17 |
| 1720255862 | Jessica G Lyons | Social Worker | 664 Prospect Ave, 2nd Floor, Hartford, CT 06105-4203 | 2008-05-08 |
| 1144402033 | Steven M Katz, Md,llc | Psychiatry & Neurology | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-12-03 |
| 1841412186 | Cynthia R Leach | Social Worker | 664 Prospect Ave, Hartford, CT 06105 | 2007-05-03 |
| 1407971971 | Cordelia K Hatheway | Counselor | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-03-20 |
| 1770621310 | Mark S Braunsdorf | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-02-04 |
| 1386790392 | Ruth Hofstatter | Counselor | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045100 | Perennial Wellness Pllc | Psychologist | 250 Post Rd E Ste 106, Westport, CT 06880-3616 | 2020-05-26 |
| 1477181790 | Aed Psychotherapy, LLC | Psychologist | 140 Elm St Ste 1, New Canaan, CT 06840-5400 | 2020-03-31 |
| 1588172621 | Mclain Coffin Counseling, LLC | Psychologist | 132 E Putnam Ave Ste 26a, Cos Cob, CT 06807-2724 | 2018-01-10 |
| 1992128318 | John Melton | Psychologist | 141 Trout Avenue, Groton, CT 06349-5900 | 2014-01-22 |
| 1144595448 | Daniel Thomas Sciarra | Psychologist | 1 Kimberly Dr, Westport, CT 06880-1227 | 2012-03-20 |
| 1477838399 | Barry Andrew Schreier | Psychologist | 234 Glenbrook Rd # U2011, University of Connecticut, Storrs, CT 06269-2011 | 2011-10-12 |
| 1609173665 | Patrick Mcauliffe | Psychologist | 24 Bailey Ave, Ridgefield, CT 06877-4555 | 2011-02-27 |
| 1235434234 | Richard William Stillson | Psychologist | Silver St., Middletown, CT 06457 | 2011-01-21 |
| 1124215744 | Christopher J Cutter Jr. | Psychologist | 230 South Frontage St., Yale Child Study Center, New Haven, CT 06519-7900 | 2007-09-27 |
| 1942408752 | Charles Bruce Anderson | Psychologist | Director, Unh Counseling Center, 300 Boston Post Road, West Haven, CT 06516 | 2007-07-03 |
| 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.