PSYCHIATRY ASSOCIATES OF CONNECTICUT (NPI# 1518405059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518405059 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRY ASSOCIATES OF CONNECTICUT |
| Practice Address |
230 Main Street Ext Middletown CT 06457-4470 |
| Mailing Address |
Po Box 1000 Middletown CT 06457-1000 |
| Practice Telephone | 2032451579 |
| Practice Fax Number | 8603478070 |
| Mailing Telephone | 2032451579 |
| Mailing Fax Number | 8603478070 |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-06 |
| Authorized Official Name | PAUL T AMBLE (OWNER) |
| Authorized Official Telephone | 2032451579 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
0032040 | CT | Behavioral Health & Social Service Providers |
| Street Address |
230 MAIN STREET EXT |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518948025 | Gilead Community Services, Inc. | Clinic/Center | 230 Main Street Ext, Middletown, CT 06457-4470 | 2005-11-10 |
| 1912531138 | Sharma Piersall | Social Worker | 230 Main Street Ext, Middletown, CT 06457-4470 | 2020-02-26 |
| 1437703873 | Michael Anthony Black | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2019-07-24 |
| 1225571508 | Edward Ureta | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2016-11-18 |
| 1104372879 | Emily Bronson Forman | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2016-08-31 |
| 1548657265 | Debra J Bailey | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2015-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922464783 | Serenity Behavioral Health and Integrative Medicine | Psychologist | 8 Heartwell Dr, Groton, CT 06340-2873 | 2016-01-11 |
| 1053737965 | Sheryl Lacoursiere LLC | Psychologist | 2 Pomperaug Office Park Ste 105, Southbury, CT 06488-2289 | 2014-03-16 |
| 1992057772 | Willow Treatment & Associates, Inc. | Psychologist | 60 Connolly Parkway; Building 2c-207, Wilbur Cross Commons, Hamden, CT 06514 | 2012-10-04 |
| 1245503705 | Ljudmil Kljusev Md, LLC | Psychologist | 227 Naugatuck Ave, Milford, CT 06460-5540 | 2012-02-14 |
| 1447458666 | Alejandra Valencia | Psychologist | 230 South Frontage Rd., The Yale Child Study Center, New Haven, CT 06520 | 2007-07-10 |
| 1437374014 | Jerzy Emil Henisz | Psychologist | 52 West Church Hill Rd, Washington Depot, CT 06794-0414 | 2007-04-17 |
| 1457709818 | Barbara A. Moynihan LLC | Psychologist | 1 S Main St, Branford, CT 06405-3872 | 2016-05-26 |
| 1245536853 | Mark Schroeder Md, LLC | Psychologist | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2011-01-28 |
| 1295905644 | Leonard None Diamond | Psychologist | 29 S Main St, New Milford, CT 06776-3507 | 2008-03-01 |
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on PSYCHIATRY ASSOCIATES OF CONNECTICUT.
| 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.