JEROME S CZECH (NPI# 1497768071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497768071 |
| Entity Type | Individual |
| Full Name | JEROME S CZECH |
| Credential | LCSW |
| Practice Address |
20 York Street New Haven CT 06510 |
| Mailing Address |
54 Turtle Bay Dr Branford CT 06405-4975 |
| Practice Telephone | 2036889772 |
| Mailing Telephone | 2036889773 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 000308 | CT | Hospitals |
| Street Address |
20 YORK STREET |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073502621 | Frans J Wackers | Radiology | 20 York Street, Y-nhh South Pavilion 2nd Fl, New Haven, CT 06510 | 2005-10-17 |
| 1750990586 | Olivia Michelle Mulla | Physician Assistant | 20 York Street, Cb-329, New Haven, CT 06510 | 2020-07-28 |
| 1861000770 | Courtney Lois Miniter | Nurse Anesthetist, Certified Registered | 20 York Street, New Haven, CT 06510-3220 | 2020-07-16 |
| 1396369245 | Andrea Ellen Para Lincoln | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-06-05 |
| 1679195275 | Paul Stockhammer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-18 |
| 1386266054 | Ayomipo Sarah Madein | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 266, New Haven, CT 06510-3220 | 2020-05-15 |
| 1437771300 | Juan Jose Silva Campos | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-13 |
| 1659993855 | Eliaz Nahum Brumer | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-05-11 |
| 1942820477 | Long Qian | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-24 |
| 1043830649 | Eesha Vijaykumar Natarajan | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynhh Tompkins 226, New Haven, CT 06510-3220 | 2020-04-23 |
| Find all providers in the same location | ||||
| 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 | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861808289 | Yale Psychiatric Hospital | Psychiatric Hospital | 184 Liberty St, New Haven, CT 06519-1625 | 2014-07-07 |
| 1073947065 | Yale New Haven Hospital | Psychiatric Hospital | 1450 Chapel St, New Haven, CT 06511-4405 | 2013-08-26 |
| 1568895571 | Yale New Haven Hospital | Psychiatric Hospital | 1450 Chapel St, Children's Day Hospital - Private One, New Haven, CT 06511-4405 | 2013-08-13 |
| 1023459468 | Yale New Haven Hospital | Psychiatric Hospital | 1294 Chapel St, New Haven, CT 06511-4515 | 2013-07-15 |
| 1497873947 | Connecticut Mental Health Center | Psychiatric Hospital | 34 Park St, New Haven, CT 06519-1109 | 2007-03-26 |
| 1164505996 | Yale New Haven Hospital | Psychiatric Hospital | 184 Liberty St, New Haven, CT 06519-1625 | 2006-10-23 |
| 1881629434 | State of Connecticut | Psychiatric Hospital | 34 Park Street, New Haven, CT 06790 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1619219219 | Hartford Hospital | Psychiatric Hospital | 200 Retreat St, Institute of Living, Hartford, CT 06102 | 2013-03-21 |
| 1164785101 | Natchaug Hospital | Psychiatric Hospital | 1010 Warrenville Rd, Mansfield Center, CT 06250-1023 | 2012-06-22 |
| 1912105966 | Eva M Varisella | Psychiatric Hospital | 195 Hartford Rd, New Britain, CT 06053-1547 | 2007-07-10 |
| 1366477903 | State of Connecticut | Psychiatric Hospital | 525 Russell Rd, Newington, CT 06111 | 2006-07-12 |
| 1982658035 | Silver Hill Hospital, Inc | Psychiatric Hospital | 208 Valley Rd, New Canaan, CT 06840-3812 | 2006-05-22 |
| 1538689104 | Natchaug Hospital | Psychiatric Hospital | 189 Storrs Road, Mansfield, CT 06250 | 2017-06-23 |
| 1306219191 | Wchn | Psychiatric Hospital | 24 Hospital Ave, Danbury, CT 06810-6099 | 2015-11-03 |
| 1942649033 | Capitol Region Mental Health Center | Psychiatric Hospital | 500 Vine Street, Capitol Region Mental Health Center Pharmacy, Hartford, CT 06112 | 2013-06-21 |
| 1740528967 | Farooq Dada LLC | Psychiatric Hospital | 2275 Silas Deane Hwy, Rocky Hill, CT 06067-2329 | 2013-01-23 |
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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.