WELLSPRING PSYCHOLOGICAL SERVICES, LLC (NPI# 1326336199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326336199 |
| Entity Type | Organization |
| Organization Name | WELLSPRING PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
152 Simsbury Rd # 9b Building 9 Avon CT 06001-3777 |
| Practice Telephone | 8606772244 |
| Mailing Telephone | 8606772244 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | DR. KERRI L CRANFORD BAKER (OWNER) |
| Authorized Official Telephone | 8606772244 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 003031 | CT | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366939191 | Wellspring Psychological Services, LLC | Psychologist | 3 Forest Park Dr Ste 101, Farmington, CT 06032-1468 | 2018-04-17 |
| Street Address |
152 SIMSBURY RD # 9B BUILDING 9 |
| City | AVON |
| State | CT |
| Zip Code | 06001-3777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| 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 |
|---|---|---|---|---|
| 1417597832 | Mindful Journey Therapy | Community/Behavioral Health | 3405 Spruce Ct, Avon, OH 44011-3702 | 2020-01-14 |
| 1942754148 | Present Awareness, LLC | Community/Behavioral Health | 124 Simsbury Rd, Avon, CT 06001-3743 | 2016-08-05 |
| 1295189652 | Nlt Counseling Service LLC | Community/Behavioral Health | 192 N Avon Ave, Suite 300, Avon, IN 46123-9513 | 2016-04-21 |
| 1942603998 | Elizabeth I Jucevics | Community/Behavioral Health | 412 W Avon Rd, Avon, CT 06001-2500 | 2014-10-06 |
| 1710303110 | Senior Care Counseling Connection LLC | Community/Behavioral Health | 8103 E Us Highway 36, 158, Avon, IN 46123-7964 | 2014-03-10 |
| 1114296506 | Santon Mental Health Services | Community/Behavioral Health | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2011-12-14 |
| 1568739910 | Jed Mental Health PC | Community/Behavioral Health | 192 N State Road 267, Suite 300, Avon, IN 46123-9513 | 2011-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 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 |
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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.