DR. MARK BEITEL (NPI# 1366592883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366592883 |
| Entity Type | Individual |
| Full Name | DR. MARK BEITEL |
| Credential | PH.D. |
| Practice Address |
8 Myrtle Ave Westport CT 06880-3511 |
| Practice Telephone | 2036440798 |
| Mailing Telephone | 2036440798 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
002614 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM ID NUMBER | 060002614CT01 | 01 |
| Street Address |
8 MYRTLE AVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407393077 | Changing Tides Psychotherapy & Counseling LLC | Social Worker | 8 Myrtle Ave, Westport, CT 06880-3511 | 2017-01-20 |
| 1093115313 | Amanda Harmon, Lcsw LLC | Social Worker | 8 Myrtle Ave, 2nd Floor, Westport, CT 06880-3511 | 2014-08-25 |
| 1780933192 | Susan E Goodman | Social Worker | 8 Myrtle Ave, Westport, CT 06880-3511 | 2012-08-30 |
| 1851694244 | Elizabeth V. Modugno | Social Worker | 8 Myrtle Ave, Westport, CT 06880-3511 | 2010-12-07 |
| 1992022321 | Tracy Pennoyer | Psychologist | 8 Myrtle Ave, Westport, CT 06880-3511 | 2010-04-25 |
| 1740517077 | Amanda Harmon | Social Worker | 8 Myrtle Ave, Westport, CT 06880-3511 | 2009-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705573 | Meredith Poster | Psychologist | 6 Rustic Lane, Westport, CT 06880 | 2020-09-18 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1013539030 | Risa Jill Werner | Social Worker | 12 Peaceful Lane, Westport, CT 06880 | 2020-05-13 |
| 1588226880 | Heather B Bauer | Nutritionist | 21 Bridge Sqaure, Westport, CT 06880 | 2019-07-08 |
| 1659938603 | Kevin Stimmel | Physical Therapist | 429 Post Rd E, Westport, CT 06880 | 2019-05-24 |
| 1093379307 | Jonathan David Geller | Social Worker | 166 Kings Highway North, Westport, CT 06880 | 2019-04-23 |
| 1942766480 | Shevonte M Johnson | Adult Companion | 100 Casals Apt 19a, Bronx, NY 06880 | 2019-02-20 |
| 1982175014 | Denese Marshall LLC | Counselor | 117 Post Road West, Westport, CT 06880 | 2018-12-16 |
| 1003398298 | Joan Frimmer | Social Worker | 138 Imperial Avenue, Westport, CT 06880 | 2018-09-04 |
| 1053891044 | Andree Palmgren | Counselor | 246 Post Rd East, 2nd Floor, Westport, CT 06880 | 2018-08-19 |
| Find all providers in zip 06880 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427456722 | Janis Abrahms Spring | Psychologist | 20 Country Rd, Westport, CT 06880-2525 | 2014-12-18 |
| 1376881219 | Maria Cristina Benedetto | Psychologist | 250 Post Rd E Ste 110a, Westport, CT 06880-3616 | 2013-01-28 |
| 1225290356 | Cynthia Price Deutsch | Psychologist | 139 Lansdowne, Westport, CT 06880-5650 | 2008-06-30 |
| 1831382142 | Kristina Erica Kops | Psychologist | 11 Pamela Pl, Westport, CT 06880-3710 | 2007-08-20 |
| 1194931675 | Frank Milton Safran | Psychologist | 1 Turkey Hill Rd S, Westport, CT 06880-5525 | 2007-05-14 |
| 1164643912 | Cynthia R Mayer | Psychologist | 544 Riverside Avenue, Westport, CT 06880 | 2007-05-01 |
| 1598983702 | Bruce A Levi | Psychologist | 20 Bay Street, Westport, CT 06880 | 2007-04-23 |
| 1558415521 | Ralph Peter Balducci | Psychologist | 260 Riverside Av, Westport, CT 06880 | 2007-01-23 |
| 1205981131 | Elizabeth Anne Baldwin | Psychologist | 120 Post Road West, Suite 102c, Westport, CT 06880 | 2007-01-23 |
| 1114095668 | Diane Rene Shelton | Psychologist | 179 Post Road West, 2nd Floor, Westport, CT 06880 | 2006-12-01 |
| Find all providers in WESTPORT | ||||
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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.