DR. EDITH PETRELLO HEATH (NPI# 1275629099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275629099 |
Entity Type | Individual |
Full Name | DR. EDITH PETRELLO HEATH |
Credential | PH.D. |
Practice Address |
400 North Street Norfolk CT 06058-0562 |
Mailing Address |
400 North Street Po Box 562 Norfolk CT 06058-0562 |
Practice Telephone | 8605426941 |
Practice Fax Number | 8605425096 |
Mailing Telephone | 8605426941 |
Mailing Fax Number | 8605425096 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
738 | CT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | MHN | 307568 | 01 |
CT | ANTHEM | 060000738CT02 | 01 |
Street Address |
400 NORTH STREET |
City | NORFOLK |
State | CT |
Zip Code | 06058-0562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598054710 | Eric Walter Johnson | Clinical Medical Laboratory | 203 Litchfield Road, Norfolk, CT 06058 | 2011-03-29 |
1083780092 | Judith P Tsukroff | Marriage & Family Therapist | 58 Greenwoods Rd W, Norfolk, CT 06058-0483 | 2006-11-28 |
1013040401 | Paul A Gibilisco | Internal Medicine | 72 Shepard Rd, Norfolk, CT 06058-1125 | 2007-03-14 |
1649662388 | Edie Hochberg Hofstatter | Occupational Therapist | 90 Greenwoods Rd W, Norfolk, CT 06058-1249 | 2015-03-03 |
1760807754 | Sara Heller | Counselor | 39 Grant St, Norfolk, CT 06058-1327 | 2014-02-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407457195 | John Cayo | Student in an Organized Health Care Education/Training Program | 715 Stockley Gdns Apt 1, Norfolk, VA 23507-2025 | 2020-11-08 |
1770184434 | Jacob Solomon Morrill | Physician Assistant | 2701 W Norfolk Ave Fl 4, Norfolk, NE 68701-4407 | 2020-11-07 |
1245831403 | Julia Patrice Watkins | Community Health Worker | 254 W Bay Ave # F112, Norfolk, VA 23503-4564 | 2020-11-04 |
1710587712 | Shiela Kaye Chua Crisostomo | Student in an Organized Health Care Education/Training Program | 3916 Gosnold Ave, Norfolk, VA 23508-2916 | 2020-10-28 |
1518567627 | Emily Apkarian | Social Worker | 923 E Ocean View Ave, Norfolk, VA 23503-1909 | 2020-10-28 |
1770183774 | Shero Counseling Agency | Counselor | 117 W 21st St Ste 215b, Norfolk, VA 23517-2246 | 2020-10-28 |
1326648460 | Jennifer Presnell-ocon | Physical Therapy Assistant | 6201 E Virginia Beach Blvd, Norfolk, VA 23502-2824 | 2020-10-28 |
1194325571 | Kelly R Powles | Physical Therapist | 6201 E Virginia Beach Blvd Ste 110, Norfolk, VA 23502-2824 | 2020-10-27 |
1225637028 | Reach Orthotic & Prosthetic Service, Inc. | Prosthetic/Orthotic Supplier | 6251 E Virginia Beach Blvd Ste 135, Norfolk, VA 23502-2824 | 2020-10-22 |
1396344313 | Ascension Medical Transportation | Non-emergency Medical Transport (VAN) | 1035 W 25th St Ste D5, Norfolk, VA 23517-1000 | 2020-10-21 |
Find all providers in NORFOLK |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841814639 | The Children and Adult Counseling Center LLC | Psychologist | 930 Majestic Ave Ste 100, Norfolk, VA 23504-4055 | 2020-06-08 |
1912409467 | Megan Lurae Mcvea | Psychologist | 400 Gresham Dr. Suite 900, Norfolk, VA 23507-1992 | 2018-03-01 |
1033666409 | Adelia Gregoire LLC | Psychologist | 6126 Studeley Ave, Norfolk, VA 23508-1032 | 2016-09-02 |
1053707786 | Takeshia Vernice Williams | Psychologist | 400 Gresham Dr Ste 907, Norfolk, VA 23507-1921 | 2015-04-09 |
1992145338 | Lisa Anne Mazzio | Psychologist | 1600 Colonial Ave, Norfolk, VA 23517-2020 | 2013-06-30 |
1689975054 | Diana Whitney Schofield | Psychologist | 1307 Hampton Blvd, Norfolk, VA 23517-1709 | 2010-11-16 |
1821328550 | Janette Marie Mance-khourey | Psychologist | 321 Duke St Apt 112, Norfolk, VA 23510-1267 | 2009-12-31 |
1578708046 | David Andrew Mitchell | Psychologist | 1306 N 13th St Ste 102, Norfolk, NE 68701-2591 | 2008-12-11 |
1700075447 | Rebecca A Thomas, Psyd & Associates, P.C. | Psychologist | 838 Granby St, Norfolk, VA 23510-2051 | 2007-10-18 |
1225186760 | Janice Marie Keener | Psychologist | 400 Gresham Dr Ste 900, Norfolk, VA 23507 | 2007-01-08 |
Find all providers in NORFOLK |
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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.