COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC (NPI# 1467672592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467672592 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC |
| Practice Address |
130 Division Street Derby CT 06418 |
| Practice Telephone | 2037321570 |
| Practice Fax Number | 2037321576 |
| Mailing Telephone | 2037321570 |
| Mailing Fax Number | 2037321576 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2013-05-03 |
| Authorized Official Name | MRS. DEBORAH LECHNER (BILLING LEAD) |
| Authorized Official Telephone | 2037321580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004242806 | 05 | |
| CT | 004224367 | 05 | |
| CT | 004176667 | 05 | |
| CT | 004230108 | 05 |
| Street Address |
130 DIVISION STREET |
| City | DERBY |
| State | CT |
| Zip Code | 06418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497818462 | Kenneth S Spector | Internal Medicine | 130 Division Street, Derby, CT 06418 | 2006-12-19 |
| 1790305159 | Inshiya Lowai Dawoodi | Student in an Organized Health Care Education/Training Program | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2020-04-25 |
| 1437647468 | Nisar Muhammad Khan | Student in an Organized Health Care Education/Training Program | 130 Division Street, Derby, CT 06418 | 2018-04-25 |
| 1760881338 | Julie Shattuck Heher | Nurse Practitioner | 130 Division Street, Derby, CT 06418-1326 | 2014-08-19 |
| 1649689415 | Ashley Dizney | Nurse Practitioner | 130 Division Street, Derby, CT 06418-1326 | 2014-08-06 |
| 1912324815 | Melissa Mitri | Dietitian, Registered | 130 Division Street, Derby, CT 06418 | 2014-03-28 |
| 1225368954 | Brooke Lillie | Counselor | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2009-12-31 |
| 1659511095 | Gloria Dzerovych | Social Worker | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2009-02-25 |
| 1588803381 | Rita Tropper | Social Worker | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2009-02-18 |
| 1053565762 | Thomas Heffernan | Counselor | 130 Division Street, Griffin Hospital, Derby, CT 06418 | 2008-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386256378 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 75 Kings Highway Cutoff Ste 3a, Fairfield, CT 06824-5340 | 2020-08-20 |
| 1770109910 | Rejuvenate Joint and Spine Pllc | Pain Medicine | 75 Tresser Blvd Unit 429, Stamford, CT 06901-3360 | 2020-06-23 |
| 1275804189 | Robinson Pa, LLC | Pain Medicine | 85 Barnes Rd Ste 201, Wallingford, CT 06492-1832 | 2012-01-24 |
| 1245472604 | Connecticut Regional Pain Specialists,llc | Pain Medicine | 2447 Whitney Ave Ste 2b, Hamden, CT 06518-3211 | 2009-04-01 |
| 1467588020 | Pain & Spine Specialists of Connecticut, LLC | Pain Medicine | 67 Sandpit Rd, Suite 308, Danbury, CT 06810-4032 | 2007-02-26 |
| 1548322878 | Joe Lee | Pain Medicine | 80 Brewster Rd, Ct Spine and Pain, Bristol, CT 06010 | 2006-12-14 |
| 1235163536 | Eugene Lucier | Pain Medicine | 142 Hazard Ave, Enfield, CT 06082-4520 | 2006-07-10 |
| 1841257185 | Eric D Grahling | Pain Medicine | 440 New Britain Ave, Comprehensive Pain Management of Central Ct, LLC, Plainville, CT 06062 | 2006-04-28 |
| 1881674398 | Yasser Shaheen | Pain Medicine | 677 S Main St, Cheshire, CT 06410-3158 | 2006-01-19 |
| 1477197671 | Spine Center of Ct, Pllc | Pain Medicine | 67 Sand Pit Rd Ste 308, Danbury, CT 06810-4032 | 2019-10-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMPREHENSIVE PAIN AND HEADACHE TREATMENT CENTERS, LLC.
| 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.