CONNECTICUT PSYCHIATRIC SERVICES LLC (NPI# 1255572079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255572079 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT PSYCHIATRIC SERVICES LLC |
| Practice Address |
24 Channing St New London CT 06320-5735 |
| Mailing Address |
17 Woodland Rd Madison CT 06443-2342 |
| Practice Telephone | 8604423380 |
| Mailing Telephone | 8604058330 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2009-10-13 |
| Authorized Official Name | MR. JAY SEIGEL (CEO) |
| Authorized Official Telephone | 8604058330 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
003815 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24 CHANNING ST |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-5735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558463646 | Renee H Rhodes | Psychologist | 24 Channing St, New London, CT 06320-5735 | 2006-09-01 |
| 1164888202 | Caroline Polsky | Registered Nurse | 24 Channing St, New London, CT 06320-5735 | 2016-01-05 |
| 1447416086 | Jay Seigel | Nurse Practitioner | 24 Channing St, Second Floor, New London, CT 06320-5735 | 2008-08-04 |
| 1194886176 | Lynda B Smith | Psychologist | 24 Channing St, New London, CT 06320-5735 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619447935 | Joan Telemaque | Nurse Practitioner | 16 Robinson St, New London, CT 06320-5425 | 2018-11-29 |
| 1205918562 | Diane Wright | Nurse Practitioner | 932 Bank St, New London, CT 06320 | 2006-10-19 |
| 1295387843 | Sara Diane Lambert | Nurse Practitioner | 75 Granite St, New London, CT 06320-5730 | 2019-07-14 |
| 1770074957 | Ashley O'brien | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2018-05-23 |
| 1356841415 | Madena Lynn Lewis | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320 | 2018-02-15 |
| 1821464017 | Ellen Louise Sollazzo | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320-4906 | 2015-08-11 |
| 1043634199 | Heather Bowen | Nurse Practitioner | 365 Montauk Ave, Lawrence and Memorial Hospital, New London, TN 06320 | 2014-02-10 |
| 1710232947 | Audrey A Allen | Nurse Practitioner | 365 Montauk Ave, New London, CT 06320-4700 | 2012-07-13 |
| 1184980211 | Marci A. Mcnicol | Nurse Practitioner | 21 Montauk Ave, New London, CT 06320 | 2012-04-03 |
| 1962787424 | Barbara Dinoia | Nurse Practitioner | 400 Bayonet St, New London, CT 06320-2600 | 2011-10-17 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on CONNECTICUT PSYCHIATRIC SERVICES LLC.
| 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.