CHILD GUIDANCE CLINIC (NPI# 1285167197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285167197 |
| Entity Type | Organization |
| Organization Name | CHILD GUIDANCE CLINIC |
| Practice Address |
12b Clancy Rd Branford CT 06405-3007 |
| Practice Telephone | 2036068681 |
| Mailing Telephone | 2036068681 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |
| Authorized Official Name | MS. LORETTA MARIE PALO (PSYCHIATRIC SOCIAL WORKER) |
| Authorized Official Telephone | 2032355767 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 000263 | CT | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRI CARE | MOM5658 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILD GUIDANCE CLINIC OF SPRINGFIELD | 417 Liberty St Ste 1, Springfield, MA 01104-3739 |
| Street Address |
12B CLANCY RD |
| City | BRANFORD |
| State | CT |
| Zip Code | 06405-3007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119596 | Katarzyna Pavelko | Physical Therapist | Branford Hills, 189 Alps Rd, Branford, CT 06405 | 2020-03-13 |
| 1174027213 | C & M Health Services Branford LLC | Home Health | 625 East Main Street, Branford, CT 06405 | 2018-03-22 |
| 1689181554 | Erin H Mccarthy | Social Worker | 513 Leetes Island Rd, Branford, CT 06405 | 2018-01-02 |
| 1255860516 | Sylcom Angelscare LLC | In Home Supportive Care | 1204 Main Street #241, Branford, CT 06405 | 2017-06-08 |
| 1093266439 | Emmanuel Chery | Physical Therapy Assistant | 153 Austin Ryer Lane, Branford, CT 06405 | 2016-10-20 |
| 1114389681 | Suraj Patel | Pharmacist | 2-6 Short Beach Rd, Branford, CT 06405 | 2016-03-24 |
| 1558753897 | Donald Ray Sirry | Social Worker | 9 Business Park Drive, Unit 1, Branford, CT 06405 | 2015-02-24 |
| 1952679110 | Maria Rivera Heath Lmft, LLC | Marriage & Family Therapist | 388 East Main Street, Suite 19, Branford, CT 06405 | 2011-12-02 |
| 1942587035 | Kathryn Lyn Delia | Pharmacist | 329 East Main St, Branford, CT 06405 | 2011-11-03 |
| 1447554068 | Elizabeth's Home Health Care Agency L.L.C. | Home Health | 127 Cedar Street, Bronford, CT 06405 | 2010-12-23 |
| Find all providers in zip 06405 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518374859 | Youth Continuum | Community/Behavioral Health | 705 Robert Frost Dr, Branford, CT 06405-5838 | 2014-07-18 |
| 1023510179 | Psych Np Associates, LLC | Community/Behavioral Health | 1090 Main St, Branford, CT 06405-3716 | 2018-03-05 |
| 1326546110 | Maria Katrina Ricca, LLC | Community/Behavioral Health | 847 W Main St Ste 3, Branford, CT 06405-3456 | 2018-01-26 |
| 1851806434 | Jesse Toth, LLC | Community/Behavioral Health | 847 W Main St Ste 3, Branford, CT 06405-3456 | 2017-12-05 |
| 1497142756 | Jolanta Maryanska Therapy, LLC | Community/Behavioral Health | 66 N Main St, Branford, CT 06405-3032 | 2015-04-23 |
| 1982711008 | Cornerstones, PC | Community/Behavioral Health | 1090 Main St, Branford, CT 06405-3716 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780818 | Freedom Life Therapy and Wellness, LLC | Community/Behavioral Health | 76 Berkeley Rd, Middletown, CT 06457-4107 | 2020-11-04 |
| 1336740653 | Personal Growth Services | Community/Behavioral Health | 57 Metacomet Rd, Farmington, CT 06032-1801 | 2020-11-03 |
| 1164022943 | Now Counseling Services, LLC | Community/Behavioral Health | 178 Temple St Ste 209, New Haven, CT 06510-2601 | 2020-10-29 |
| 1770182834 | Growth and Development LLC | Community/Behavioral Health | C/o Humanly, 1200 High Ridge Rd Ste 208, Stamford, CT 06905-1202 | 2020-10-20 |
| 1972101319 | Lorraine Kenowski Ma Lpc Pllc | Community/Behavioral Health | 17 Buckingham Rd, Mansfield Center, CT 06250-1404 | 2020-10-16 |
| 1104424464 | Cbl II, LLC | Community/Behavioral Health | 163 Robin Dr, Collinsville, CT 06019-3730 | 2020-10-09 |
| 1215534953 | Susan P Dunko Ms Lpc LLC | Community/Behavioral Health | 17 Hickory Hill Dr, Andover, CT 06232-1013 | 2020-10-06 |
| 1356956528 | Anchor Wellness LLC | Community/Behavioral Health | 22 N High St, Clinton, CT 06413-1731 | 2020-09-14 |
| 1265046106 | Katherine Agel | Community/Behavioral Health | 380 Mather St Apt 4011, Hamden, CT 06514-3159 | 2020-09-08 |
| 1316551104 | Resilient Spirit Psychotherapy LLC | Community/Behavioral Health | 26 Tarragon Dr, East Hampton, CT 06424-1755 | 2020-08-31 |
| 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.