LOWER NAUGATUCK VALLEY PARENT CHILD RESOURCE CENTER, INC. (NPI# 1285610584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285610584 |
| Entity Type | Organization |
| Organization Name | LOWER NAUGATUCK VALLEY PARENT CHILD RESOURCE CENTER, INC. |
| Practice Address |
30 Elizabeth St 3rd Floor Derby CT 06418-1802 |
| Practice Telephone | 2039540543 |
| Practice Fax Number | 2039540544 |
| Mailing Telephone | 2039540543 |
| Mailing Fax Number | 2039540544 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL WYNNE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2039540543 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0PCC-9 | CT | Behavioral Health & Social Service Providers |
| Street Address |
30 ELIZABETH ST 3RD FLOOR |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848557 | Meredith Rose Martineau | Social Worker | 30 Elizabeth St, Derby, CT 06418-1869 | 2020-07-12 |
| 1194342725 | Jourdan Duncan | Counselor | 30 Elizabeth St, Derby, CT 06418-1869 | 2020-06-30 |
| 1053937342 | Jamie Marie Avallone | Social Worker | 30 Elizabeth St, Derby, CT 06418-1869 | 2020-06-22 |
| 1053959122 | Lorena Santana | Social Worker | 30 Elizabeth St, Derby, CT 06418-1869 | 2019-12-19 |
| 1053884692 | Melissa Anne Shongut | Social Worker | 30 Elizabeth St, Derby, CT 06418-1802 | 2019-01-07 |
| 1093233421 | Cristal Alicea | Social Worker | 30 Elizabeth St, Derby, CT 06418-1802 | 2017-09-06 |
| 1124558812 | Alexandra Farley | Social Worker | 30 Elizabeth St, Derby, CT 06418-1802 | 2017-06-14 |
| 1083152417 | Annette Bonomo | Counselor | 30 Elizabeth St, Parent Child Resource Center, Derby, CT 06418 | 2017-02-06 |
| 1790223378 | Megan Elizabeth Jackson | Social Worker | 30 Elizabeth St, 3rd Floor, Derby, CT 06418-1802 | 2017-02-03 |
| 1669919585 | Megan Padilla | Social Worker | 30 Elizabeth St, Derby, CT 06418-1802 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972153393 | Chrisinda Lyn Hunter | Counselor | 1221 N Rock Rd Ste 100, Derby, KS 67037-3675 | 2019-09-17 |
| 1447719158 | Kristen Elizabeth Watson | Counselor | 4095 Gore Rd, Derby, VT 05829-9408 | 2019-03-13 |
| 1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
| 1205292323 | Mary Varone | Counselor | 317 Silver Hill Rd Unit 4a, Derby, CT 06418-1138 | 2016-01-05 |
| 1366845182 | Ashley Sevigny | Counselor | 181 Cawford Road, Derby, VT 05829-0000 | 2014-10-07 |
| 1235215187 | Tina Lyon Dell | Counselor | 6708 Old Lake Shore Road, Derby, NY 14047-9561 | 2006-10-31 |
| 1477563724 | Mary Elaine Hayes | Counselor | 425 N Baltimore Ave, Suite 1, Derby, KS 67037-1641 | 2006-08-09 |
| 1215536594 | Myranda Conley | Counselor | 1525 N Buckner St, Derby, KS 67037-2948 | 2020-10-19 |
| 1326683343 | Jordan Alston | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2019-11-13 |
| 1750923371 | Joanna Marie Palma | Counselor | 6722 Erie Rd, Derby, NY 14047-9670 | 2019-10-15 |
| Find all providers in DERBY | ||||
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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.