NAUGATUCK VALLEY COUNSELING AND MED MANAGEMENT (NPI# 1255972022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255972022 |
| Entity Type | Organization |
| Organization Name | NAUGATUCK VALLEY COUNSELING AND MED MANAGEMENT |
| Other Organization Name | RESTART HEALTH AND WELLNESS LLC |
| Practice Address |
276 Highland Ave Ste 2 Waterbury CT 06708-3022 |
| Mailing Address |
19 Ellis Rd East Haven CT 06512-4627 |
| Practice Telephone | 2035188218 |
| Practice Fax Number | 8448335610 |
| Mailing Telephone | 2035188218 |
| Mailing Fax Number | 8448335610 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2020-03-10 |
| Authorized Official Name | MOHAMED ELSAMRA (OWNER) |
| Authorized Official Telephone | 2035188218 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Restart Health and Wellness LLC | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 Straits Tpke Ste 101, Middlebury, CT 067622843 | 2035188218 | 8448335610 |
| 109 Old Farms Rd, Watertown, CT 067951547 | 8603028671 |
| Street Address |
276 HIGHLAND AVE STE 2 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659905313 | Restart Health and Wellness LLC | Psychiatry & Neurology | 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 | 2020-03-02 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1821169582 | Jeffrey H Boyd Md & Associates PC | Psychiatry & Neurology | 969 West Main St, 2nd Floor, Waterbury, CT 06708 | 2006-11-13 |
| 1063599637 | Judith Karen Carlson | Psychiatry & Neurology | 55 West Main Street Suite 410, Western Connecticut Mental Health Network, Waterbury, CT 06702 | 2006-11-01 |
| 1437234218 | Thomas A Simpatico | Psychiatry & Neurology | South Main Street, Waterbury, VT 05676 | 2006-10-27 |
| 1659307106 | Kunjathan Thankappan | Psychiatry & Neurology | 100 Jefferson Sq, Waterbury, CT 06706-1109 | 2006-06-25 |
| 1578516597 | Azhar Imam | Psychiatry & Neurology | 100 Jefferson Square, Waterbury, CT 06706-1253 | 2006-05-19 |
| 1700852787 | George Robert C Amilo | Psychiatry & Neurology | Waterbury Hospital, 64 Robbins Street, Waterbury, CT 06708 | 2006-02-28 |
| 1780660134 | Lori Sobel | Psychiatry & Neurology | 4 Midland Ave, Connecticut Counseling, Waterbury, CT 06705 | 2005-12-19 |
| 1083697114 | Jeffrey Howard Boyd | Psychiatry & Neurology | 969 W Main St, Waterbury, CT 06708-2653 | 2005-11-22 |
| Find all providers in WATERBURY | ||||
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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.