BEHAVIORAL WELLNESS CLINIC (NPI# 1326351412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326351412 |
| Entity Type | Organization |
| Organization Name | BEHAVIORAL WELLNESS CLINIC |
| Other Organization Name | NEW ENGLAND OCD INSTITUTE |
| Practice Address |
Behavioral Wellness Clinic 392 Merrow Road, Suite E Tolland CT 06084 |
| Practice Telephone | 8608307838 |
| Practice Fax Number | 8604540667 |
| Mailing Telephone | 8608307838 |
| Mailing Fax Number | 8604540667 |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | MONNICA T WILLIAMS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5026087483 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEHAVIORAL WELLNESS CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Behavioral Wellness Clinic | Doing Business As Name - Organization |
| Louisville OCD Clinic | Other Name - Individual/Organization |
| New England OCD Institute | Other Name - Individual/Organization |
| Street Address |
BEHAVIORAL WELLNESS CLINIC 392 MERROW ROAD, SUITE E |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
| 1205363124 | Helen Charette, Msw, Lcsw, LLC | Social Worker | 355 Sugar Hill Rd., Tolland, CT 06084 | 2017-05-23 |
| 1851796163 | Senior Moments, LLC | Clinic/Center | 31 Kingsbury Ave, Tolland, CT 06084 | 2014-10-29 |
| 1548527898 | Ruth Wassik | Occupational Therapy Assistant | 26 Shenipsit Road, Tolland, CT 06084 | 2012-04-11 |
| 1063703551 | Greater Hartford Orthopedic Group, P.C. | Durable Medical Equipment & Medical Supplies | 384 L Merrow Road, Tolland, CT 06084 | 2011-05-02 |
| 1902975808 | Frederick M Daniels | Dentist | 12 Goose Lane, Tolland, CT 06084 | 2006-11-06 |
| 1306932215 | Beth Schweitzer | Family Medicine | 6 Fieldstone Commons, Suite D, Tolland, CT 06084 | 2006-10-05 |
| 1942302898 | Joseph Macione | Psychologist | 175 Walbridge Hill Rd, Administractive Office, Tolland, CT 06084 | 2006-09-02 |
| 1043325533 | Tolland Eye Care LLC | Optometrist | 23c Fieldstone Commons, Tolland, CT 06084 | 2006-08-21 |
| Find all providers in zip 06084 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770827677 | Lisa Jane Backus | Psychologist | 129 Tolland Stage Rd, Suite 1, Tolland, CT 06084-2342 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| 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.