TREE OF LIFE PRIMARY CARE AND RECOVERY LLC (NPI# 1437659091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437659091 |
| Entity Type | Organization |
| Organization Name | TREE OF LIFE PRIMARY CARE AND RECOVERY LLC |
| Practice Address |
129 Church St Ste 417 New Haven CT 06510-2052 |
| Practice Telephone | 6467857452 |
| Mailing Telephone | 6467857452 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Authorized Official Name | DR. RONICA MUKERJEE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6467857452 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
129 CHURCH ST STE 417 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508161720 | Cornell Scott Hill Health Corporation | Clinic/Center | 428 Columbus Ave, Internal Medicine, New Haven, CT 06519-1233 | 2011-01-19 |
| 1104955913 | Yale New Haven Hospital | Clinic/Center | 20 York St, New Haven, CT 06510-3220 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1447858394 | Effective Healthcare Medical P.C. | Clinic/Center | 445 Beaver Street, Apta8, Ansonia, CT 06401 | 2020-10-13 |
| 1114537578 | Charter Oak Health Center, Inc | Clinic/Center | 32 Grand St, Hartford, CT 06106-4658 | 2020-07-31 |
| 1639571821 | Soul Winning Mission Association Inc. | Clinic/Center | 180 Poquonock Ave, Windsor, CT 06095-2429 | 2014-09-19 |
| 1104245794 | Cll Health Care Clinic, LLC | Clinic/Center | 527 W Thames St, Unit 23, Norwich, CT 06360-7153 | 2014-04-10 |
| 1700133527 | City of Hartford | Clinic/Center | 131 Coventry St., Hartford, CT 06112-1548 | 2012-08-10 |
| 1417143504 | Pomperaug District Department of Health | Clinic/Center | 77 Main St N Ste 205, Southbury, CT 06488 | 2007-09-21 |
| 1871626846 | Milford Council On Aging | Clinic/Center | 9 Jepson Drive, Milford, CT 06460 | 2007-03-13 |
| 1467722538 | Walgreens | Clinic/Center | 157 Main St, East Haven, CT 06512-2525 | 2012-01-06 |
| 1548293343 | Danbury Hospital | Clinic/Center | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-07-08 |
| 1588638688 | Masonicare Health Center | Clinic/Center | 22 Masonic Ave, Wallingford, CT 06492-3048 | 2006-02-15 |
| Find all providers with the same taxonomy | ||||
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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.