DR. JESSICA LORD BEAN (NPI# 1255451134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255451134 |
| Entity Type | Individual |
| Full Name | DR. JESSICA LORD BEAN |
| Credential | PH.D. |
| Practice Address |
300 Hebron Ave Suite 111 Glastonbury CT 06033-2176 |
| Mailing Address |
366 Ash Swamp Rd Glastonbury CT 06033-3504 |
| Practice Telephone | 8606338155 |
| Practice Fax Number | 8606338176 |
| Mailing Telephone | 8607293963 |
| Mailing Fax Number | 8606338176 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2013-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2864 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669037917 | Jessica Bean | Occupational Therapist | 200 1st St Sw, Rochester, MN 55905 | 2019-05-02 |
| 1710442496 | Jessica Lauren Bean | Licensed Practical Nurse | 90 Hope Dr, Hershey, PA 17033-2036 | 2019-02-06 |
| 1447728977 | Jessica Bean | Specialist | 401 Cypress St, Manchester, NH 03103-3628 | 2018-11-02 |
| 1861876856 | Jessica Bean | Nurse Practitioner | 1950 Hospital View Way, Clermont, FL 34711-1926 | 2015-07-20 |
| 1750796868 | Jessica Marie Bean | Massage Therapist | 2399 12th St Se, Salem, OR 97302-2149 | 2014-06-26 |
| 1851627848 | Jessica Anne Bean | Naturopath | 3670 Stone Way N, Suite 201, Seattle, WA 98103-8004 | 2009-10-26 |
| Street Address |
300 HEBRON AVE SUITE 111 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629410 | Joseph B Sappington | Internal Medicine | 300 Hebron Ave, Ste 213, Glastonbury, CT 06033-2176 | 2005-09-14 |
| 1609240498 | Deirdre Osypuk | Psychologist | 300 Hebron Ave, Suite 217, Glastonbury, CT 06033-2176 | 2015-11-17 |
| 1396151619 | Christopher Frank Mercier | Physician Assistant | 300 Hebron Ave, Suite 113, Glastonbury, CT 06033-2176 | 2014-07-08 |
| 1386071710 | Albert Zucchetto | Nurse Practitioner | 300 Hebron Ave, Glastonbury, CT 06033-2176 | 2013-09-30 |
| 1457699712 | Evan Fox Md, LLC | Psychiatry & Neurology | 300 Hebron Ave, Suite 107, Glastonbury, CT 06033-2176 | 2013-01-22 |
| 1912271545 | Rose M. Spielman | Psychologist | 300 Hebron Ave, Suite 217 Medical Arts Center, Glastonbury, CT 06033-2176 | 2012-02-29 |
| 1619245313 | Krista Dalbec Mraz | Clinical Neuropsychologist | 300 Hebron Ave, Unit 111, Glastonbury, CT 06033-2176 | 2011-12-08 |
| 1386922151 | Dpmdeckerprct, LLC | Durable Medical Equipment & Medical Supplies | 300 Hebron Ave, Suite 211, Glastonbury, CT 06033-2176 | 2011-07-28 |
| 1407146897 | Dpmdeckerprct LLC | Podiatrist | 300 Hebron Ave, Suite 211, Glastonbury, CT 06033-2176 | 2011-04-19 |
| 1568694669 | Karen Michelle Freed | Nurse Practitioner | 300 Hebron Ave, Suite 107, Glastonbury, CT 06033-2176 | 2009-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831562255 | Carlene Davidson | Psychologist | 300 Hebron Ave Ste 217, Glastonbury, CT 06033-2192 | 2015-11-06 |
| 1528226537 | Tina Michelle Newman | Psychologist | 2300 Main Street, Ccsn, Glastonbury, CT 06033 | 2008-05-27 |
| 1952840761 | Mariana Torres-viso | Psychologist | 2300 Main St, Glastonbury, CT 06033-2218 | 2017-02-14 |
| 1174849293 | Synergy Psychology Group, LLC | Psychologist | 377 Hubbard St, Glastonbury, CT 06033-3078 | 2010-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730912 | Chelsea Morgan | Psychologist | 300 George St Ste 900, New Haven, CT 06511-6660 | 2020-11-08 |
| 1073127270 | Whitney Buckley | Psychologist | 2505 Black Rock Tpke Ste 2, Fairfield, CT 06825-2408 | 2020-09-04 |
| 1194333823 | Brian Joseph Lussier | Psychologist | 15 Preston Rd, Terryville, CT 06786-4209 | 2020-07-20 |
| 1407403934 | Educational Advancement Associates | Psychologist | 15 Schoolhouse Lndg, East Granby, CT 06026-2601 | 2019-08-20 |
| 1053770982 | Lori Attanasio Woodring | Psychologist | 7 Sylvan Ln, Old Greenwich, CT 06870-2318 | 2016-02-20 |
| 1912387606 | Kathryn Hagen | Psychologist | 86 John St Apt C, New Britain, CT 06051-2762 | 2015-06-08 |
| 1376947937 | Nicholas Gelbar | Psychologist | 222 Warrenville Rd, Mansfield Center, CT 06250-1128 | 2014-10-10 |
| 1710320049 | David Gallaway | Psychologist | 238 Ratlum Rd, New Hartford, CT 06057-2318 | 2013-04-17 |
| 1992056675 | New Connection Inc | Psychologist | 446 Blake St # 200a, New Haven, CT 06515-1286 | 2012-09-21 |
| 1649534215 | Sherin Sue Stahl | Psychologist | 7 Tucker Meadow Rd, Woodbridge, CT 06525-1943 | 2012-06-28 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on DR. JESSICA LORD BEAN.
| 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.