CLANCY JAMES PURCELL (NPI# 1396210308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396210308 |
| Entity Type | Individual |
| Full Name | CLANCY JAMES PURCELL |
| Practice Address |
224 Beardsley Rd Shelton CT 06484-1844 |
| Practice Telephone | 2037672213 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
224 BEARDSLEY RD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-1844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558647396 | William Fletcher | Orthotic Fitter | 65 Stillwater Ave, Stamford, CT 06902-4917 | 2011-10-25 |
| 1477612760 | Gregory Michael Vanhoof | Orthotic Fitter | 12 Fawn Ridge Dr, Brookfield, CT 06804 | 2006-12-06 |
| 1972504124 | Comprehensive Prosthetic Services LLC | Orthotic Fitter | 21 Business Park Dr, Branford, CT 06405-2935 | 2005-08-09 |
| 1336398494 | Paulo R Borges | Orthotic Fitter | 56 Arbor St, Suite 212, Hartford, CT 06106-1222 | 2008-09-14 |
| 1518114669 | Carol Ann Ryall | Orthotic Fitter | 1313 Gold Star Hwy, Groton, CT 06340-2717 | 2008-08-20 |
| 1700064979 | Roberta Nole | Orthotic Fitter | 80 Turnpike Dr, Unit 1, Middlebury, CT 06762-1830 | 2008-02-09 |
| 1881888493 | Lucinda Beaty | Orthotic Fitter | 650 Highland Ave, Cheshire, CT 06410-2207 | 2007-08-28 |
| 1780807834 | John D Walker | Orthotic Fitter | 503 Main Street, Willimantic, CT 06226 | 2007-04-10 |
| 1114073038 | Gary Sohn | Orthotic Fitter | 318 W Main St, Norwich, CT 06360-5413 | 2007-01-25 |
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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.