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).
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 |
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 |
Street Address |
682 PROSPECT AVE |
City | HARTFORD |
State | CT |
Zip Code | 06105-4238 |
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 |
Find all providers in the same location |
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 |
1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
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 |
Find all providers in zip 06105 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
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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.