GROWING POTENTIAL, LLC (NPI# 1437607538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437607538 |
| Entity Type | Organization |
| Organization Name | GROWING POTENTIAL, LLC |
| Practice Address |
495 Gold Star Hwy Ste 324 Groton CT 06340-6230 |
| Practice Telephone | 8609610952 |
| Mailing Telephone | 8609610952 |
| Enumeration Date | 2016-09-17 |
| Last Update Date | 2016-09-17 |
| Authorized Official Name | MARY PARKER (LPC) |
| Authorized Official Telephone | 8609610952 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
495 GOLD STAR HWY STE 324 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871041061 | Mary Parker | Counselor | 495 Gold Star Hwy Ste 324, Groton, CT 06340-6230 | 2016-09-15 |
| 1184282766 | Robert Barnett D.c. LLC | Chiropractor | 495 Gold Star Hwy Ste 324, Groton, CT 06340-6230 | 2019-05-30 |
| 1356879696 | Catherine M. Reinhardt, Phd, LLC | Counselor | 495 Gold Star Hwy Ste 324, Groton, CT 06340-6230 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326182726 | Gerald L Borofsky | Psychologist | 641 Chicopee Row, Groton, MA 01450-1457 | 2007-02-18 |
| 1821198508 | Thomas Joseph Maciolek | Psychologist | 616 Gold Star Hwy, Groton, CT 06340-6221 | 2006-09-23 |
| 1992733901 | Robert Michael Bahm | Psychologist | 27 Carmichael Way, Groton, MA 01450-2081 | 2006-06-29 |
| 1801868732 | Christine Elizabeth Musello | Psychologist | 142 Main St, Groton, MA 01450-1271 | 2006-02-04 |
| 1568996528 | Jbw Psychological Services LLC | Psychologist | 8 W Main St, Groton, MA 01450-1631 | 2017-04-17 |
| 1467726737 | Maxine L Varanko | Psychologist | 1 Wahoo Ave, Groton, CT 06349-2324 | 2012-03-02 |
| 1952620015 | Jennifer Beth Warkentin | Psychologist | 8 W Main St, Groton, MA 01450-1631 | 2010-05-27 |
| 1649596214 | Jennifer Selden, Ph.d., LLC | Psychologist | 495 Gold Star Hwy, Suite 200, Groton, CT 06340-6228 | 2010-04-08 |
| 1740436344 | Fort Hill Counselors LLC | Psychologist | 1 Fort Hill Rd, Groton, CT 06340-4799 | 2008-08-14 |
| 1972585156 | John Hugh G Wallace Jr. | Psychologist | Naval Ambulatory Care Center, Route 12, Bldg 449, Attn: Professional Affairs, Groton, CT 06349-5600 | 2005-11-15 |
| Find all providers in GROTON | ||||
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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.