PETER C LACZAK (NPI# 1396008108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396008108 |
| Entity Type | Individual |
| Full Name | PETER C LACZAK |
| Credential | LMFT |
| Practice Address |
540 Litchfield St C/o Rosa Pagano Torrington CT 06790-6679 |
| Practice Telephone | 8604966361 |
| Practice Fax Number | 8604966389 |
| Mailing Telephone | 8604966361 |
| Mailing Fax Number | 8604966389 |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 001843 | CT | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CT | Student, Health Care |
| Street Address |
540 LITCHFIELD ST C/O ROSA PAGANO |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-6679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629075734 | Charlotte Hungerford Hospital | Counselor | 540 Litchfield St, Torrington, CT 06790 | 2005-07-05 |
| 1962019224 | Christina Lipori Lapham | Nurse Practitioner | 540 Litchfield St, Torrington, CT 06790-6600 | 2020-09-30 |
| 1861014508 | Kristen Devitto | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6600 | 2020-05-16 |
| 1447872205 | Francesca Flynn | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6679 | 2020-05-14 |
| 1902436793 | Allen Paul Michot IIi | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6600 | 2020-01-21 |
| 1669022232 | Natalie Hart | Nurse Practitioner | 540 Litchfield St, Torrington, CT 06790-6679 | 2019-09-16 |
| 1265086706 | Susan Lemelin | Nurse Practitioner | 540 Litchfield St, Torrington, CT 06790-6679 | 2019-08-01 |
| 1134606189 | Kimberly Hunter | Social Worker | 540 Litchfield St, Torrington, CT 06790-6679 | 2018-07-23 |
| 1114411766 | Sagar Rana | Physician Assistant | 540 Litchfield St, Torrington, CT 06790-6600 | 2018-06-18 |
| 1669970570 | Annika Foster | Social Worker | 540 Litchfield St, Torrington, CT 06790-6679 | 2018-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932541240 | Damian J Dasilva | Marriage & Family Therapist | 36 Marcia Dr, Torrington, CT 06790-5810 | 2013-07-28 |
| 1568017382 | Starlin Astacio | Marriage & Family Therapist | 50 Litchfield St, Torrington, CT 06790-6424 | 2019-08-08 |
| 1083274914 | Netasia Jones | Marriage & Family Therapist | 50 Litchfield St, Torrington, CT 06790-6424 | 2019-06-13 |
| 1952969941 | Manuelma Paulino | Marriage & Family Therapist | 50 Litchfield St, Torrington, CT 06790-6424 | 2019-06-04 |
| 1548783384 | Alexandra Isaac Martinez | Marriage & Family Therapist | 50 Litchfield St, Torrington, CT 06790-6424 | 2017-07-24 |
| 1114450467 | Dajavon Davis | Marriage & Family Therapist | 990 Migeon Ave, Torrington, CT 06790-4555 | 2017-04-04 |
| 1235585258 | Victoria Palagy | Marriage & Family Therapist | 50 Litchfield St, Torrington, CT 06790-6424 | 2016-05-09 |
| 1912300963 | Ali Oliver Taeb | Marriage & Family Therapist | 1 Torrington Office Plz, 301, Torrington, CT 06790-3854 | 2014-10-06 |
| 1508282583 | Jessica Ferguson | Marriage & Family Therapist | 540 Litchfield St, Torrington, CT 06790-6679 | 2014-03-13 |
| 1407119324 | Alena Josephson | Marriage & Family Therapist | 540 Litchfield St, Torrington, CT 06790-6679 | 2012-06-18 |
| Find all providers in TORRINGTON | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
Please comment or provide details below to improve the information on PETER C LACZAK.
| 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.