NAOMI MARTA MENDELOVICZ (NPI# 1487710141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487710141 |
| Entity Type | Individual |
| Full Name | NAOMI MARTA MENDELOVICZ |
| Credential | M.D. |
| Practice Address |
365 Montauk Ave New London CT 06320-4700 |
| Practice Telephone | 8604420711 |
| Mailing Telephone | 8604420711 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
12505 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | ANTHEM | 01Y008708NH01 | 01 |
| CT | MEDICARE | D400087195 | 01 |
| NH | 30205488 | 05 |
| Street Address |
365 MONTAUK AVE |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568460186 | Steven Lu | Internal Medicine | 365 Montauk Ave, Rm 4.512, New London, CT 06320-4700 | 2005-07-08 |
| 1407471246 | Lawrence and Memorial Hospital, Inc. | Internal Medicine | 365 Montauk Ave, New London, CT 06320-4700 | 2020-06-08 |
| 1952954117 | Veronica O Lee | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-17 |
| 1265084487 | Lydia Derienzo | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-07-09 |
| 1184283699 | Theresa Joan Crino | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-08 |
| 1437718137 | Linda Anderson | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-07 |
| 1265091813 | Stephen Richard Cofone | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-07 |
| 1841859683 | Thomas David Page | Pharmacist | 365 Montauk Ave, New London, CT 06320-4769 | 2019-06-06 |
| 1942869706 | William Edward Sergiy IIi | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| 1578122263 | Mary Stevens | Pharmacist | 365 Montauk Ave, New London, CT 06320-4700 | 2019-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174565253 | Raveen Mehendru | Psychiatry & Neurology | Hartford Hospital Geriatric Psychiatry, 200 Retreat Avenue, Hartford, CT 06106 | 2006-06-12 |
| 1366428831 | Javier Salabarria | Psychiatry & Neurology | 67 Masonic Ave, Wallingford, CT 06492-3095 | 2005-12-16 |
| 1568014728 | Step Up Behavioral Care PC LLC | Psychiatry & Neurology | 111 Westcott Rd, Danielson, CT 06239-2929 | 2019-07-09 |
| 1407375363 | Connecticut Geriatric Neuropsychiatry, LLC | Psychiatry & Neurology | 558 Hopmeadow St, Simsbury, CT 06070-2415 | 2017-09-12 |
| 1457641805 | Unique Approach, LLC | Psychiatry & Neurology | 464 Wolcott Rd, Attn: Jonathan Brenes, Wolcott, CT 06716-2626 | 2011-04-19 |
| 1801186846 | Brandon Yarns | Psychiatry & Neurology | 300 George St Ste 901, New Haven, CT 06511-6662 | 2011-04-11 |
| 1275769549 | Isis Burgos-chapman | Psychiatry & Neurology | 400 Columbus Ave, New Haven, CT 06519-1233 | 2009-06-01 |
| 1225219108 | Shragit Glazman | Psychiatry & Neurology | 55 Hatchetts Hill Rd, Old Lyme, CT 06371 | 2007-11-19 |
| 1720154198 | Subbarao Bollepalli | Psychiatry & Neurology | 97 Barnes Rd, Suite #2, Wallingford, CT 06492-1885 | 2006-11-28 |
| 1427169549 | Julian Offsay | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
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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.