MANSFIELD MENTAL HEALTH & ADDICTION MEDICINE (NPI# 1366958480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366958480 |
| Entity Type | Organization |
| Organization Name | MANSFIELD MENTAL HEALTH & ADDICTION MEDICINE |
| Practice Address |
18-e Ledgebrook Drive 18-e Mansfield Ctr CT 06250 |
| Mailing Address |
86 Buff Cap Rd Apt D3 Tolland CT 06084-2642 |
| Practice Telephone | 3478723612 |
| Mailing Telephone | 3478723612 |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | DR. GENGYUN WEN (PSYCHIATRIST) |
| Authorized Official Telephone | 3478723612 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
54266 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
18-E LEDGEBROOK DRIVE 18-E |
| City | MANSFIELD CTR |
| State | CT |
| Zip Code | 06250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| 1134360480 | Pasquale Joseph Perfetto | Counselor | 155 Storrs Road, Suite A, Mansfield, CT 06250 | 2009-03-17 |
| Find all providers in zip 06250 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859709 | Andre Burey Md Pllc | Psychiatry & Neurology | 1051 Post Rd Ste 1, Darien, CT 06820-5436 | 2020-07-30 |
| 1245848670 | Behavioral Wellness Partners | Psychiatry & Neurology | 167 Cherry St #101, Milford, CT 06460-3466 | 2020-07-22 |
| 1659905313 | Restart Health and Wellness LLC | Psychiatry & Neurology | 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 | 2020-03-02 |
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1063996221 | Alexia Bajwa Cortella | Psychiatry & Neurology | 5 Wedgewood Ct, Newtown, CT 06470-1792 | 2018-09-23 |
| 1427536101 | Mar Y Sol Mental Health Experts LLC | Psychiatry & Neurology | 50 Federal Rd Ste 1a, Danbury, CT 06810-6129 | 2018-08-03 |
| 1619470655 | Becky Kreuzer Aprn, Pmhnp, LLC | Psychiatry & Neurology | 22 Pine St Ste 205, Bristol, CT 06010-6949 | 2018-03-15 |
| 1982104063 | Carl Chi | Psychiatry & Neurology | 22 Goodrich Ln, Portland, CT 06480-1063 | 2018-02-15 |
| 1659808699 | Psy-visions of Connecticut, LLC | Psychiatry & Neurology | 88 Main St S Ste B201, Southbury, CT 06488-2276 | 2017-05-22 |
| 1639605082 | Neil Michael Kurtz | Psychiatry & Neurology | 165 Old Redding Road, Weston, CT 06883 | 2017-05-04 |
| Find all providers with the same taxonomy | ||||
| City | MANSFIELD CTR |
| Zip Code | 06250 |
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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.