PSYCHOLOGICAL HEALTH ASSOCIATES LLC (NPI# 1508899212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508899212 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL HEALTH ASSOCIATES LLC |
| Practice Address |
701 Cottage Grove Rd Ste 302 Bloomfield CT 06002-3080 |
| Mailing Address |
701 Cottage Grove Rd Ste C210 Bloomfield CT 06002-4207 |
| Practice Telephone | 8602339772 |
| Practice Fax Number | 8602369402 |
| Mailing Telephone | 8602339772 |
| Mailing Fax Number | 8602369402 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | DR. MARCI B. KORWIN (PRINCIPAL) |
| Authorized Official Telephone | 8602339772 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
701 COTTAGE GROVE RD STE 302 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679138358 | Fayon Witche | Counselor | 27 West St Ste 7b, Bloomfield, NJ 07003-4938 | 2019-05-07 |
| 1790246650 | Jonathan Lee Cornell | Counselor | 262 Chaplin Rd, Bloomfield, KY 40008-7125 | 2019-03-25 |
| 1285117275 | Megan Wehman | Counselor | 700 Bloomfield Ave Unit 347, Bloomfield, CT 06002-4240 | 2018-09-14 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1073039715 | Susan L Shea | Counselor | 402 Barbara Street, Bloomfield, MO 63825 | 2017-08-15 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1710420070 | Emily Parodi | Counselor | 2 Broad St Ste 300, Bloomfield, NJ 07003-2547 | 2016-11-18 |
| 1396294500 | Mario Castellanos | Counselor | 25 Donald St Apt D, Bloomfield, NJ 07003-6182 | 2016-09-28 |
| 1063870384 | Adisa Alghali | Counselor | 1018 Broad St Ste 6, Bloomfield, NJ 07003-2884 | 2016-02-01 |
| 1396165635 | Connecticut Counseling Services | Counselor | 8 Bear Ridge Dr, Bloomfield, CT 06002-1108 | 2014-04-25 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on PSYCHOLOGICAL HEALTH ASSOCIATES LLC.
| 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.