BRIAN CARBERG


Address: 14 Nowakowski Rd, Griswold, CT 06351-1300
Phone: 8603763031

BRIAN CARBERG (NPI# 1346476736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346476736
Entity Type Individual
Full Name BRIAN CARBERG
Credential LPC
Practice Address 14 Nowakowski Rd
Griswold
CT 06351-1300
Mailing Address 19 E Main St
Avon
CT 06001-3832
Practice Telephone 8603763031
Mailing Telephone 8609171927
Enumeration Date 2009-05-31
Last Update Date 2018-02-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
001537 CT Behavioral Health & Social Service Providers

Office Location

Street Address 14 NOWAKOWSKI RD
City GRISWOLD
State CT
Zip Code 06351-1300

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659617058 Erin Haggan Social Worker 55 Dina Ln, Griswold, CT 06351 2012-12-13
1750554788 Lisbon Central School Local Education Agency (LEA) 15 Newent Road, Lisbon, CT 06351 2008-04-10
1699953729 Joel Zuckerbraun Odpl Optometrist 8 North Main Street, Jewett City, CT 06351 2008-01-31
1275542219 Eastern Connecticut Rehabilitation Centers Clinic/Center 2 B Lee Road, Lisbon, CT 06351 2006-08-07
1841260106 Sasha B Campbell Physical Therapist 2b Lee Road, Lisbon, CT 06351 2006-01-26
1316296502 Kelsey Lyn Joslyn Counselor 226 E Main St, Griswold, CT 06351 2012-09-04
1124183660 Jason Edward Cavanaugh Optometrist 180 River Rd, Lisbon, CT 06351 2006-12-26
1952310955 Penny Anne Allyn Physical Therapist 2b Lee Road, Lisbon, CT 06351 2006-08-07
1578572574 Audrey Jo Traylor Physical Therapist 2b Lee Road, Lisbon, CT 06351 2006-08-07
1265434583 Mark David Deponte Family Medicine 2 Lee Rd, Lisbon, CT 06351 2005-06-01
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1548874092 Catherine Kimball Counselor 386 Cotton Hill Rd, New Hartford, CT 06057-3402 2020-09-02
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Competitor

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City GRISWOLD
Zip Code 06351

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Dataset Information

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.

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