MR. MICHAEL WILLIAM PETRIDES (NPI# 1396801254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396801254 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WILLIAM PETRIDES |
| Credential | M.S.(R), ABD, LPC |
| Practice Address |
331 Main St Norwich CT 06360-5836 |
| Practice Telephone | 8608898346 |
| Practice Fax Number | 8608892658 |
| Mailing Telephone | 8608898346 |
| Mailing Fax Number | 8608892658 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
000430 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326609090 | Michael Petrides | Dentist | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2019-06-24 |
| 1609221969 | Michael Petrides | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St, Box 980509, Richmond, VA 23298-5051 | 2016-04-25 |
| Street Address |
331 MAIN ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-5836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426921 | John Christopher Franklin Crabbe | Student in an Organized Health Care Education/Training Program | 331 Main St, Norwich, CT 06360-5836 | 2020-01-15 |
| 1881230738 | Linda Easterling | Student in an Organized Health Care Education/Training Program | 331 Main St, Norwich, CT 06360-5836 | 2019-11-25 |
| 1407491608 | Alissa Taylor | Student in an Organized Health Care Education/Training Program | 331 Main St, Norwich, CT 06360-5836 | 2019-11-12 |
| 1861042111 | Ashley Stokes | Social Worker | 331 Main St, Norwich, CT 06360-5836 | 2019-09-18 |
| 1457900532 | Joshua Lee Hager | Social Worker | 331 Main St, Norwich, CT 06360-5836 | 2019-09-10 |
| 1285283960 | Kelsey Hust | Social Worker | 331 Main St, Norwich, CT 06360 | 2019-09-05 |
| 1669034542 | Joshua Noffsinger | Social Worker | 331 Main St, Norwich, CT 06360-5836 | 2019-07-01 |
| 1528534039 | Brittany Hill | Social Worker | 331 Main St, Norwich, CT 06360-5836 | 2018-10-23 |
| 1578039145 | Theresa Marie Buckley-murawski | Social Worker | 331 Main St, Norwich, CT 06360-5836 | 2018-10-22 |
| 1235614496 | Shaina Lin Noyes | Social Worker | 331 Main St, Norwich, CT 06360-5836 | 2018-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547338 | Kathleen Elizabeth Cote | Counselor | 14 Julian St, Norwich, CT 06360-2704 | 2020-04-17 |
| 1972082576 | Matthew Clement | Counselor | 1 Meadow Ln, Norwich, CT 06360-5213 | 2018-08-14 |
| 1861655268 | Jeigh Hayes | Counselor | 108 New London Tpke Ste 3, Norwich, CT 06360-2645 | 2008-07-07 |
| 1336301605 | Christin Michele Morales | Counselor | 1 Ohio Ave, Norwich, CT 06360-1536 | 2008-06-27 |
| 1649399635 | Susan Britt | Counselor | 15 Nemczuk Dr, Norwich, CT 06360-1744 | 2007-03-29 |
| 1679625438 | Cori Jean Beckwith | Counselor | 42 Knollcrest Rd, Norwich, CT 06360-1440 | 2007-01-18 |
| 1346264769 | Barbara J Grover | Counselor | 62 Broadway, Norwich, CT 06360-5702 | 2006-07-27 |
| 1942818380 | Janankia Andrea Thomas | Counselor | 326 Washington St, Norwich, CT 06360-2740 | 2020-07-22 |
| 1336761485 | Debra Gottschalk | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2020-05-12 |
| 1609497171 | Sarah Piekarczyk | Counselor | 11a Stott Ave, Norwich, CT 06360-1507 | 2020-05-06 |
| Find all providers in NORWICH | ||||
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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.