DR. JOSEPH GERARD CONRAD (NPI# 1497264014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497264014 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH GERARD CONRAD |
| Credential | LADC |
| Practice Address |
17 Church Street New Preston CT 06777 |
| Mailing Address |
17 Church St New Preston CT 06777-1502 |
| Practice Telephone | 2035287852 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2017-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
01212 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942864657 | Joseph Kevin Conrad | Social Worker | 1560 Leonard St Ne, Grand Rapids, MI 49505-5572 | 2019-04-29 |
| 1831486935 | Joseph Samuel Conrad | Optometrist | 1191 Byron Rd, Howell, MI 48843-1005 | 2011-07-09 |
| 1295063444 | Joseph P Conrad | Occupational Therapist | 850 W Poe Rd, Bowling Green, OH 43402-1219 | 2009-11-30 |
| 1871738203 | Joseph L Conrad | Anesthesiology | Stony Brook University Hospital, Medical/house Staff Office, Stony Brook, NY 11794-7148 | 2008-12-15 |
| 1811042427 | Joseph B Conrad | Counselor | 1700 N Mcmullen Booth Rd, Clearwater, FL 33759 | 2007-01-24 |
| 1164502662 | Joseph A Conrad | Internal Medicine | 425 E 5350 S, Suite 335, Ogden, UT 84405-6946 | 2006-10-17 |
| 1669578530 | Joseph P. Conrad | Physician Assistant | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-09-16 |
| 1902892839 | Joseph Carlos Conrad | Nurse Anesthetist, Certified Registered | 364 White Oak St, Asheboro, NC 27203-5434 | 2005-09-26 |
| Street Address |
17 CHURCH STREET |
| City | NEW PRESTON |
| State | CT |
| Zip Code | 06777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477037661 | Psychotherapy Care, LLC | Community/Behavioral Health | 27 Church Street, New Preston, CT 06777 | 2018-09-24 |
| 1821268996 | Alphonse D. Altorelli, M.d., P.C. | Internal Medicine | 125 New Milford Turnpike, New Preston, CT 06777 | 2008-03-05 |
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1659857993 | Elizabeth Tanner-horn | Social Worker | 72 Woodville Rd, Warren, CT 06777-1202 | 2018-07-18 |
| 1457800153 | Robin Tanner-hoskinson | Occupational Therapy Assistant | 74 Woodville Rd, Warren, CT 06777-1202 | 2016-09-23 |
| 1760862445 | Ankur Ashok Patel | Podiatrist | 168 New Milford Tpke Unit 1a, New Preston Marble Dale, CT 06777-1601 | 2015-06-08 |
| 1225048218 | Robert E. Kane | Optometrist | 168 New Milford Tpke, New Preston, CT 06777-1601 | 2006-08-09 |
| 1205399912 | Washington Podiatry LLC | Podiatrist | 168 New Milford Tpke Unit 1a, New Preston Marble Dale, CT 06777-1601 | 2019-04-09 |
| 1255683975 | Denise A Good | Physical Therapist | 15 N Sawyer Hill Rd, New Preston, CT 06777-1609 | 2012-10-04 |
| 1104228683 | Henrietta Small | Social Worker | 72 Mygatt Rd, New Preston, CT 06777-1610 | 2014-09-16 |
| Find all providers in zip 06777 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737735 | Southbury Adolescent and Young Adult Counseling Center LLC | Counselor | 385 Main St S Ste 217, Southbury, CT 06488-4246 | 2020-10-15 |
| 1821696675 | Bunny Catherina Rodriguez | Counselor | 60 Lake Rd, North Branford, CT 06471-1252 | 2020-10-14 |
| 1780282681 | Marcie Rivera | Counselor | 47 Coit St, New London, CT 06320-5924 | 2020-10-13 |
| 1003428897 | Francesca Nicole Porter | Counselor | 39 Burnham St, Enfield, CT 06082-6144 | 2020-08-21 |
| 1952912271 | Patience Ashong | Counselor | 191 High Ridge Dr, Bridgeport, CT 06606-4965 | 2020-08-11 |
| 1366051468 | Evan Hunter Jr. | Counselor | 53 Hawthorne Ave, Waterbury, CT 06708-4614 | 2020-07-24 |
| 1710505284 | Alfred Levi Greenleaf Jr. | Counselor | 51 Maheu St, Bristol, CT 06010-3051 | 2020-07-10 |
| 1316560089 | Sean Thomas Marcil | Counselor | 1776 Meriden Rd Rear Unitb, Wolcott, CT 06716-3341 | 2020-05-28 |
| 1396365706 | Angela M Massiello | Counselor | 192 Maple Ave, Uncasville, CT 06382-2018 | 2020-04-26 |
| 1750901005 | A Better Day Counseling Center LLC | Counselor | 403 New Litchfield St, Torrington, CT 06790-6640 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | NEW PRESTON |
| Zip Code | 06777 |
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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.