DR. PATRICK LYDON QUEENAN (NPI# 1437162823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437162823 |
| Entity Type | Individual |
| Full Name | DR. PATRICK LYDON QUEENAN |
| Credential | PH.D. |
| Practice Address |
304 Federal Rd Suite 319 Brookfield CT 06804-2418 |
| Practice Telephone | 2037754915 |
| Mailing Telephone | 2037754915 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
002395 | CT | Behavioral Health & Social Service Providers |
| Street Address |
304 FEDERAL RD SUITE 319 |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185331 | Richard Brian Fisher | Dentist | 304 Federal Rd, Ste 215, Brookfield, CT 06804-2418 | 2005-06-28 |
| 1609247444 | Kara M Clark | Physician Assistant | 304 Federal Rd, Suite 201, Brookfield, CT 06804-2418 | 2015-10-19 |
| 1376829077 | Brookfield Health & Injury LLC | Clinic/Center | 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 | 2011-10-25 |
| 1407139181 | Brookfield Center for Chiropractic LLC | Chiropractor | 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 | 2011-09-20 |
| 1831323187 | Ivette Diaz, Md LLC | Internal Medicine | 304 Federal Rd, Suite 201, Brookfield, CT 06804-2418 | 2009-05-14 |
| 1962673376 | Brookfield Center for Chiropractic and Wellness PC | Chiropractor | 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 | 2008-03-13 |
| 1447429014 | Quality Hearing Aid Center, L.L.C. | Hearing Aid Equipment | 304 Federal Rd, Suite 114, Brookfield, CT 06804-2418 | 2008-02-27 |
| 1063626026 | Robert Stephen Gadoci | Chiropractor | 304 Federal Rd, Suite 210, Brookfield, CT 06804-2418 | 2007-05-09 |
| 1033277736 | Jaime Gutierrez | Dentist | 304 Federal Rd, Suite 217, Brookfield, CT 06804-2418 | 2006-12-05 |
| 1720186034 | Edilia Gualdron | Physical Therapist | 304 Federal Rd, Suite 109, Brookfield, CT 06804-2418 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942660600 | Allison Sidel | Psychologist | 304 Federal Rd Ste 301, Brookfield, CT 06804-2423 | 2016-02-24 |
| 1568784114 | Rebecca Lynn Thompson | Psychologist | 150 N Sunny Slope Rd, Suite #100, Brookfield, WI 53005-4806 | 2010-02-24 |
| 1861602609 | Douglas Eugene Scarth | Psychologist | 2 Old New Milford Rd Ste 1e, Brookfield, CT 06804-2426 | 2007-05-23 |
| 1932255833 | Henry Barron | Psychologist | 2224 Twin Pond Rd, Brookfield, VT 05036-9540 | 2007-01-25 |
| 1669537015 | Lynne Berendsen | Psychologist | 13035 W Bluemound Rd, Suite 100, Brookfield, WI 53005-8001 | 2006-12-26 |
| 1356401475 | Howard Joel Haven | Psychologist | 12690 W North Avenue, Elmbrook Family Counseling Center, Brookfield, WI 53005 | 2006-12-11 |
| 1922172634 | Judy A Eager | Psychologist | 13965 W Burleigh Rd, Suite 203, Brookfield, WI 53005-3064 | 2006-11-17 |
| 1649361775 | Kim Marie Gorecki | Psychologist | 19275 W Capitol Dr Ste 200, Brookfield, WI 53045-2734 | 2006-09-27 |
| 1427002211 | Eric D Seybold | Psychologist | 12690 W North Ave, Brookfield, WI 53005-4636 | 2006-05-19 |
| 1194230599 | Jacquelyn Bogdanov | Psychologist | 16535 W Bluemound Rd Ste 200, Brookfield, WI 53005-5906 | 2017-12-06 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
Please comment or provide details below to improve the information on DR. PATRICK LYDON QUEENAN.
| 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.