KIMBERLY HENDERSON-KJELLEN (NPI# 1417044165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417044165 |
| Entity Type | Individual |
| Full Name | KIMBERLY HENDERSON-KJELLEN |
| Credential | PSYD |
| Practice Address |
1097 Farmington Ave Berlin CT 06037-2241 |
| Practice Telephone | 8608367553 |
| Mailing Telephone | 8608367553 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 002808 | CT | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
002808 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 33 Highland Street, New Britain General Hospital Substance Abuse Services, New Britain, CT 06052 | 8602249985 | 8608264995 |
| 55 Town Line Rd, Wethersfield, CT 061094352 | 8607573702 |
| Street Address |
1097 FARMINGTON AVE |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-2241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073012597 | Psychological Services of Kensington, LLC | Community/Behavioral Health | 1097 Farmington Ave, Berlin, CT 06037-2241 | 2018-02-10 |
| 1265725899 | Henderson Family Chiropractic LLC | Chiropractor | 1097 Farmington Ave, Berlin, CT 06037-2241 | 2011-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780840231 | Lula Drewes | Psychologist | Bischweiler Str. 16, Berlin, GERMANY 14163 | 2008-08-04 |
| 1336259365 | Laurance Thompson | Psychologist | 130 Fisher Rd Ste 1-6, Berlin, VT 05602-9000 | 2006-08-31 |
| 1710221031 | Amber K Penuel | Psychologist | 10776 Grays Corner Rd., Suite 2, Berlin, MD 21811 | 2012-11-27 |
| 1285759530 | Kay Elizabeth Barrett | Psychologist | 130 Fisher Rd, Suite 1-6, Berlin, VT 05602-9516 | 2007-03-19 |
| 1194813527 | Tracy A Loysen | Psychologist | 641 Comstock Rd, Ste 3, Berlin, VT 05602 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KIMBERLY HENDERSON-KJELLEN.
| 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.