DR. GARY RACUSIN (NPI# 1487790531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487790531 |
| Entity Type | Individual |
| Full Name | DR. GARY RACUSIN |
| Credential | PH.D. |
| Practice Address |
59 Elm St Ste 320 New Haven CT 06510-2047 |
| Practice Telephone | 2037721858 |
| Practice Fax Number | 2032309743 |
| Mailing Telephone | 2037721858 |
| Mailing Fax Number | 2032309743 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
001284 | CT | Behavioral Health & Social Service Providers |
| Street Address |
59 ELM ST STE 320 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2047 |
| 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 | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730912 | Chelsea Morgan | Psychologist | 300 George St Ste 900, New Haven, CT 06511-6660 | 2020-11-08 |
| 1992056675 | New Connection Inc | Psychologist | 446 Blake St # 200a, New Haven, CT 06515-1286 | 2012-09-21 |
| 1619100708 | Christine Dauser | Psychologist | 230 South Frontage Rd, New Haven, CT 06520-7900 | 2009-08-24 |
| 1952547218 | David Paul Hoffman | Psychologist | 12 Trumbull Street, 2nd Floor, New Haven, CT 06511 | 2008-12-16 |
| 1164055935 | Dana Marie Allswede | Psychologist | 350 George St, New Haven, CT 06511-6617 | 2020-02-19 |
| 1477186302 | Joanna Hurley | Psychologist | 350 George St, New Haven, CT 06511-6617 | 2020-02-19 |
| 1588126379 | Monica Barreto | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-04-02 |
| 1457812455 | Kimberly Ho Misiaszek | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-03-31 |
| 1417418708 | Laura Anderson Kirby | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-03-28 |
| 1477059244 | Kathryn Giuseppone | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2018-04-02 |
| Find all providers in NEW HAVEN | ||||
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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.