DR. GLENN KONOPASKE (NPI# 1386613354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386613354 |
Entity Type | Individual |
Full Name | DR. GLENN KONOPASKE |
Credential | M.D. |
Practice Address |
Uconn Health Dept. of Psychiatry, 263 Farmington Ave Farmington CT 06030-0001 |
Practice Telephone | 8606791105 |
Practice Fax Number | 8606791489 |
Mailing Telephone | 8606791105 |
Mailing Fax Number | 8606791489 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2017-04-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
40112 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1013004610001 | 05 |
Street Address |
UCONN HEALTH DEPT. OF PSYCHIATRY, 263 FARMINGTON AVE |
City | FARMINGTON |
State | CT |
Zip Code | 06030-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821443193 | Amanda O'meara | Obstetrics & Gynecology | Uconn Health, 263 Farmington Ave, Farmington, CT 06030-2947 | 2016-04-25 |
1063876480 | Sagar Patel | Anesthesiology | Uconn Health, 263 Farmington Avenue, Farmington, CT 06030-2015 | 2016-04-12 |
1760845341 | Alexandre West | Student in an Organized Health Care Education/Training Program | Uconn Health, 263 Farmington Ave, Farmington, CT 06030-2947 | 2016-04-01 |
1881934412 | Tatyana Lyapustina | Student in an Organized Health Care Education/Training Program | Uconn Health, 263 Farmington Avenue, Farmington, CT 06030-1930 | 2013-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
Find all providers in zip 06030 |
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 |
---|---|---|---|---|
1174156152 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 115 Elm St Ste I, Farmington, MN 55024-1031 | 2020-02-18 |
1679950984 | Jafreen Ahmed | Psychiatry & Neurology | 263 Farmington Ave # Mc1410, Farmington, CT 06030-0002 | 2015-05-06 |
1568705978 | Phelan Elizabeth Maruca-sullivan | Psychiatry & Neurology | 10 Talcott Nothc, Farmington, CT 06032-0001 | 2013-04-03 |
1659647519 | Thomas J. Vanhoof | Psychiatry & Neurology | 14 Crestwood Cir, Farmington, CT 06032-1123 | 2012-03-26 |
1134312671 | David Matuskey | Psychiatry & Neurology | 10 Talcott Notch Rd Ste 3e, Farmington, CT 06032-1800 | 2007-08-18 |
1275639106 | John Sytsma | Psychiatry & Neurology | 144 High St, Farmington, ME 04938-1946 | 2006-09-16 |
1629084710 | Matthew J Gardiner | Psychiatry & Neurology | 808 Spring Pond Dr, Farmington, UT 84025-3853 | 2006-07-31 |
1457371049 | Sohrab Zahedi | Psychiatry & Neurology | 6 Forest Park Dr, Suite # 5, Farmington, CT 06032-1480 | 2006-07-19 |
1366474462 | Carole Black Cohen | Psychiatry & Neurology | 10 Forest Park Dr, Farmington, CT 06032-1499 | 2006-07-07 |
1285609131 | Michael Susco | Psychiatry & Neurology | 1386 Hathaway Dr, Suite A, Farmington, NY 14425-8973 | 2006-02-22 |
Find all providers in FARMINGTON |
City | FARMINGTON |
Zip Code | 06030 |
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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.