MARC BONAGUIDE LLC (NPI# 1487176145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487176145 |
| Entity Type | Organization |
| Organization Name | MARC BONAGUIDE LLC |
| Practice Address |
50 Albany Tpke Canton CT 06019-2516 |
| Mailing Address |
10 Sunrise Ter Weatogue CT 06089-9755 |
| Practice Telephone | 8609511240 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-13 |
| Authorized Official Name | MARC BONAGUIDE (MANAGER) |
| Authorized Official Telephone | 8609511240 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
50 ALBANY TPKE |
| City | CANTON |
| State | CT |
| Zip Code | 06019-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477681278 | Brenda Coyle | Psychologist | 50 Albany Tpke, Suite 5023, Canton, CT 06019-2516 | 2007-03-01 |
| 1730676016 | Catherine Kimball | Counselor | 50 Albany Tpke, Canton, CT 06019-2516 | 2018-04-22 |
| 1962858639 | Danielle Sondeen | Marriage & Family Therapist | 50 Albany Tpke, Building #4, Canton, CT 06019-2516 | 2016-05-11 |
| 1528435047 | Chantel Gineo | Counselor | 50 Albany Tpke, Suite 3010, Canton, CT 06019-2516 | 2015-09-01 |
| 1972990059 | Healthwise Counseling, LLC | Psychologist | 50 Albany Tpke, Suite 3010, Canton, CT 06019-2516 | 2015-04-16 |
| 1972995652 | A New Path Counseling, LLC | Psychologist | 50 Albany Tpke, Canton, CT 06019-2516 | 2015-03-04 |
| 1447662176 | Kristina Schumann | Psychologist | 50 Albany Tpke, Suite 3010, Canton, CT 06019-2516 | 2014-05-29 |
| 1578792826 | Tracy Eckert LLC | Counselor | 50 Albany Tpke, Suite 5036, Canton, CT 06019-2516 | 2009-07-08 |
| 1386873636 | Silver Counseling Services LLC | Marriage & Family Therapist | 50 Albany Tpke, Suite 5036, Canton, CT 06019-2516 | 2009-07-08 |
| 1376729624 | Judy Cabeceiras | Community/Behavioral Health | 50 Albany Tpke, Suite 5036, Canton, CT 06019-2516 | 2008-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912532953 | Canton Geriatrics Pllc | Clinic/Center | 461 Cherry Brook Road, Canton, CT 06019 | 2020-03-10 |
| 1245877638 | Cara Noel Donahue | Social Worker | Farmington Valley Counseling Center, 111 Simsbury Rd, Avon, CT 06019 | 2019-12-04 |
| 1629614953 | Reformed Nutrition LLC | Dietitian, Registered | 220 Albany Turnpike, Unit 1, Canton, CT 06019 | 2019-11-21 |
| 1144607367 | Jordan Sileo Wasik | Counselor | 20 Depot St., Collinsville, CT 06019 | 2015-04-27 |
| 1578957361 | Glaser Helpers, Inc. | Home Health | 6 Wickhams Fancy, Collinsville, CT 06019 | 2015-03-19 |
| 1346686136 | Anna Sastre | Family Medicine | 117 Albany Turnpike, Canton, CT 06019 | 2013-05-20 |
| 1356698856 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 111 Albany Turnpike, Canton, CT 06019 | 2012-08-14 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1073734505 | Matthew Keefe | Dentist | 191 Albany Turnpike, Canton, CT 06019 | 2007-05-01 |
| 1710092432 | Gerard Edward-zackary Bogucki | Dentist | 66 Maple Avenue, Collinsville, CT 06019 | 2006-08-20 |
| Find all providers in zip 06019 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195339 | Rachel Collins, Lpc | Clinic/Center | 410 State St Rm 1, North Haven, CT 06473-3149 | 2017-10-22 |
| 1376054148 | Joann Flynn LLC. | Clinic/Center | 3 Swanswood Ln, Old Lyme, CT 06371-1867 | 2017-10-19 |
| 1942723036 | Kellys Kids, Inc | Clinic/Center | 9 Spring Rd, Prospect, CT 06712-1522 | 2017-07-20 |
| 1295256840 | B.e.a.u.t.y, LLC | Clinic/Center | 824 Main St Ste F, Manchester, CT 06040-6048 | 2017-07-05 |
| 1518413442 | Community Partners In Action | Clinic/Center | 995 Sherman Ave, Hamden, CT 06514-1144 | 2016-08-31 |
| 1952760803 | Darbonshire, LLC | Clinic/Center | 304 Wahackme Rd, New Canaan, CT 06840-3936 | 2016-02-21 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1497025035 | Ct Clinical Services, Inc. | Clinic/Center | 189 Orange St, New Haven, CT 06510-2014 | 2012-01-12 |
| 1093950032 | Yale Parenting and Child Conduct Clinic | Clinic/Center | 314 Prospect St, New Haven, CT 06511-2187 | 2008-12-04 |
| 1710185731 | Waterford Country School, Inc. | Clinic/Center | 78 Hunts Brook Rd, Quaker Hill, CT 06375-1009 | 2007-07-11 |
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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.