PROVIDERCARE PLUS PC (NPI# 1396724811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396724811 |
| Entity Type | Organization |
| Organization Name | PROVIDERCARE PLUS PC |
| Practice Address |
152 Deming St Providercare Plus South Windsor CT 06074-3740 |
| Practice Telephone | 8606444472 |
| Practice Fax Number | 8606443001 |
| Mailing Telephone | 8606444472 |
| Mailing Fax Number | 8606443001 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2013-02-12 |
| Authorized Official Name | PHILIP S. CARDAMONE (DIRECTOR & CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 8606444472 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004398055 | 05 |
| Street Address |
152 DEMING ST PROVIDERCARE PLUS |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891772844 | Philip S. Cardamone | Psychologist | 152 Deming St, Providercare Plus, South Windsor, CT 06074-3740 | 2005-12-29 |
| 1437782927 | Mckay Family Therapy, LLC | Marriage & Family Therapist | 152 Deming St, South Windsor, CT 06074-3740 | 2020-02-13 |
| 1124675293 | Timothy Robert Mckay | Marriage & Family Therapist | 152 Deming St, South Windsor, CT 06074-3740 | 2019-08-22 |
| 1922472992 | Playworks Therapy for Children, LLC | Social Worker | 152 Deming St, South Windsor, CT 06074-3740 | 2015-11-13 |
| 1598131989 | Mary G G Machell | Social Worker | 152 Deming St, South Windsor, CT 06074-3740 | 2015-08-19 |
| 1699066217 | Kathleen Hanley-hochdorfer | Psychologist | 152 Deming St, South Windsor, CT 06074-3740 | 2011-04-30 |
| 1548439359 | Jacqueline C. Newhouse | Social Worker | 152 Deming St, South Windsor, CT 06074-3740 | 2008-02-26 |
| 1558449660 | Jyothi Vayalakkara | Clinical Neuropsychologist | 152 Deming St, Providercare Plus, PC, South Windsor, CT 06074-3740 | 2006-11-02 |
| 1144302431 | Melissa Claire Sheardwright | Psychologist | 152 Deming St, South Windsor, CT 06074-3740 | 2006-10-19 |
| 1891774360 | Vincent A Covino | Psychologist | 152 Deming St, Providercare Plus, South Windsor, CT 06074-3740 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346464500 | Elissa Mccarthy Tessier | Psychologist | O17 Saint Marc Cir, Bldg O, South Windsor, CT 06074-4150 | 2007-04-12 |
| 1891772844 | Philip S. Cardamone | Psychologist | 152 Deming St, Providercare Plus, South Windsor, CT 06074-3740 | 2005-12-29 |
| 1285199604 | Refuge Psychological Services | Psychologist | 1741 Ellington Rd Ste 1, South Windsor, CT 06074-2720 | 2019-02-11 |
| 1265784466 | Megan Campbell Marsh | Psychologist | 225 Oakland Rd, Suite 302, South Windsor, CT 06074-2866 | 2012-10-11 |
| 1164791547 | Acclaim Behavioral Services, LLC | Psychologist | 2400 Tamarack Avenue, South Windsor, CT 06074 | 2011-12-14 |
| 1760762538 | Melissa Ann Hodgson | Psychologist | 2400 Tamarack Ave, Suite 201, South Windsor, CT 06074-5559 | 2011-08-24 |
| 1699066217 | Kathleen Hanley-hochdorfer | Psychologist | 152 Deming St, South Windsor, CT 06074-3740 | 2011-04-30 |
| 1427202720 | Janis Inesis Briga | Psychologist | 2400 Tamarack Avenue, Suite 201, South Windsor, CT 06074 | 2008-11-13 |
| 1568528859 | Charles Lawrence Field | Psychologist | 469 Buckland Rd, Suite 106, South Windsor, CT 06074-3737 | 2006-12-29 |
| 1891774360 | Vincent A Covino | Psychologist | 152 Deming St, Providercare Plus, South Windsor, CT 06074-3740 | 2006-01-12 |
| Find all providers in SOUTH WINDSOR | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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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.