MS. PATRICIA AURORA DEVENDORF (NPI# 1407994221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407994221 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA AURORA DEVENDORF |
| Credential | MS,LADC,NCGCII |
| Practice Address |
645 Farmington Ave Hartford CT 06105-2907 |
| Mailing Address |
474 Quaker Ln S West Hartford CT 06110-1021 |
| Practice Telephone | 8605239788 |
| Practice Fax Number | 8602325049 |
| Mailing Telephone | 8602322861 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000080 | CT | Behavioral Health & Social Service Providers |
| Street Address |
645 FARMINGTON AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871663328 | Steven C Shifreen | General Practice | 645 Farmington Ave, Hartford, CT 06105 | 2006-11-09 |
| 1467910638 | Nutribridge LLC | Dietitian, Registered | 645 Farmington Ave, Hartford, CT 06105-2907 | 2019-03-06 |
| 1639636525 | Bridget Anne Sutherland | Dietitian, Registered | 645 Farmington Ave, Hartford, CT 06105-2907 | 2019-02-27 |
| 1851771273 | Musculoskeletal Medicine & Pain Management Associates, PC | Chiropractor | 645 Farmington Ave, Hartford, CT 06105-2907 | 2015-06-01 |
| 1669862058 | Joette Melissa Johnson | Social Worker | 645 Farmington Ave, First Floor, Hartford, CT 06105-2907 | 2015-01-23 |
| 1134537327 | Marcia Annmarie Watson | Social Worker | 645 Farmington Ave, Hartford, CT 06105-2907 | 2014-07-31 |
| 1023426624 | Unlimited Family Services LLC | Community/Behavioral Health | 645 Farmington Ave, Floor 1, Hartford, CT 06105-2907 | 2014-07-27 |
| 1497198907 | Rebecca Ramos | Social Worker | 645 Farmington Ave, Hartford, CT 06105-2907 | 2013-04-15 |
| 1063753580 | Kathleen Hayles Service | Social Worker | 645 Farmington Ave, Floor 1, Hartford, CT 06105-2907 | 2013-03-07 |
| 1720343924 | Pablo Varela IIi | Counselor | 645 Farmington Ave, Hartford, CT 06105-2907 | 2012-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164064044 | Shawn Tyson | Counselor | 330 Main St Fl 1, Hartford, CT 06106-1851 | 2019-10-12 |
| 1114401510 | Roberto Carlos Vargas | Counselor | 926 Asylum Ave Apt 206, Hartford, CT 06105-2402 | 2018-09-20 |
| 1053859553 | Michael Heaven | Counselor | 601 Blue Hills Ave, Apt B2, Hartford, CT 06112-1254 | 2017-02-03 |
| 1043678063 | Daisy Baez | Counselor | 59 Nelson St, Hartford, CT 06120-2041 | 2016-02-04 |
| 1821495391 | Halcyon Clinical Services, LLC | Counselor | 75 Charter Oak Ave, Hartford, CT 06106-1903 | 2014-11-29 |
| 1346654399 | Edward Gonzalez | Counselor | 27 May Street 2nd Floor, Hartford, CT 06104 | 2014-06-18 |
| 1306100367 | Marco Neves | Counselor | 106 Standish St, Hartford, CT 06114-2936 | 2012-06-25 |
| 1275804874 | Ray T. Bishop | Counselor | 16 Weston St, Hartford, CT 06120-1504 | 2012-01-13 |
| 1144591710 | Philip Frederick Richmond | Counselor | 18 Weston St, Hartford, CT 06120-1504 | 2012-01-13 |
| 1871862789 | Latino Community Services, Inc. | Counselor | 221 Main St Fl 3, Hartford, CT 06106-1890 | 2011-12-21 |
| Find all providers in HARTFORD | ||||
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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.