MS. JUDITH C DURHAM


Address: 682 Prospect Ave, Hartford, CT 06105-4238
Phone: 8605246598

MS. JUDITH C DURHAM (NPI# 1275726978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275726978
Entity Type Individual
Full Name MS. JUDITH C DURHAM
Other Name DR. JUDITH DURHAM
Credential APRN
Practice Address 682 Prospect Ave
Hartford
CT 06105-4238
Practice Telephone 8605246598
Mailing Telephone 8605246598
Enumeration Date 2007-08-26
Last Update Date 2007-08-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YP2500X Counselor
Specialization: Professional
000451 CT Behavioral Health & Social Service Providers
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
E32090 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 682 PROSPECT AVE
City HARTFORD
State CT
Zip Code 06105-4238

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922074343 Kimberly M. Daniels Psychologist 682 Prospect Ave, Hartford, CT 06105-4238 2006-02-25
1427696202 Kimberly M Daniels LLC Psychologist 682 Prospect Ave, Hartford, CT 06105-4238 2019-12-12
1811425846 Project Thrive Ct Social Worker 682 Prospect Ave, Hartford, CT 06105-4238 2017-06-03
1386185130 Charlotte Moskowitz Marriage & Family Therapist 682 Prospect Ave, Hartford, CT 06105-4238 2017-03-13
1841630092 Greater Hartford Child & Family Clinical Services, LLC Counselor 682 Prospect Ave, Hartford, CT 06105-4238 2013-07-02
1851731285 Jessica Sanderson, LLC Marriage & Family Therapist 682 Prospect Ave, Hartford, CT 06105-4238 2013-06-29
1649614322 Jessica Sanderson Marriage & Family Therapist 682 Prospect Ave, Hartford, CT 06105-4238 2013-04-24
1720422769 Julie H. Griggs Counselor 682 Prospect Ave, Hartford, CT 06105-4238 2013-04-22
1972890150 Lauren B Azarigian Social Worker 682 Prospect Ave, Hartford, CT 06105-4238 2011-07-07
1720383318 Psychotherapy Partners, LLC Psychologist 682 Prospect Ave, First Floor, Box #5, Hartford, CT 06105-4238 2011-01-13
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Providers in the same zip code

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
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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
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720388341 Ann Marie Diloreto Clinical Nurse Specialist 200 Retreat Avenue, Hartford Hospital Geriatric Psychiatry, Hartford, CT 06106-3310 2010-10-29
1902061120 Sharon A Langlois Clinical Nurse Specialist 80 Seymour St, Hartford, CT 06102-8000 2008-07-28
1194875450 Carol J Raza Clinical Nurse Specialist 200 Retreat Avenue, Hartford Hospital Geriatric Psychiatry, Hartford, CT 06106 2007-01-11
1023188950 Karen A Smith Clinical Nurse Specialist 80 Seymour Street, Hartford Hospital Psychiatry Dept, Hartford, CT 06102 2006-11-08
1639268626 Arthur J. Guerra Clinical Nurse Specialist 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 2006-10-11
1336240241 Ellen M Crowley Clinical Nurse Specialist 80 Seymour Street, Hartford Hospital Psychiatry Dept, Hartford, CT 06102 2006-09-25
1194790725 Laura Bracale Clinical Nurse Specialist 80 Seymour St, Emergency Department, Hartford, CT 06106-3315 2006-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750777827 Janice P. Holmes Clinical Nurse Specialist 87 Georges Ln, Monroe, CT 06468-3138 2015-04-15
1336556513 Deborah S Greene Aprn LLC Clinical Nurse Specialist 760 Hopmeadow St, Box 813, Simsbury, CT 06070-2223 2014-07-19
1053626929 Madonna Kay Fasula Clinical Nurse Specialist 100 York St Ste 2j, New Haven, CT 06511-5664 2010-08-16
1396900270 Annmarie Bernier Clinical Nurse Specialist 19 Nursery Dr, West Hartford, CT 06117-2737 2008-07-21
1003934282 Christopher E Allen Clinical Nurse Specialist 71 East Avenue, Ste F, Norwalk, CT 06851-4903 2007-03-27
1417085465 Mary F Scully Clinical Nurse Specialist 29 Shadow Ln, West Hartford, CT 06110-1641 2007-03-01
1609971696 Christopher John Kochis Clinical Nurse Specialist 998 Farmington Ave, Suite 123, West Hartford, CT 06107-2162 2006-09-14
1922022359 Susan M. James Clinical Nurse Specialist 147 Durham Rd, Oak Park, Madison, CT 06443-2675 2006-07-27
1508883588 Donna Humeston Hoskins Clinical Nurse Specialist 22 Upper Main St, Sharon, CT 06069-2083 2006-07-16
1013956366 Katherine M. Nichols Clinical Nurse Specialist 75 Swantown Hl, Stonington Institute, North Stonington, CT 06359-1022 2006-06-05
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Competitor

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City HARTFORD
Zip Code 06105

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Dataset Information

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.

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