COLLEEN WALLACE MASTROIANNI (NPI# 1528528064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528528064 |
Entity Type | Individual |
Full Name | COLLEEN WALLACE MASTROIANNI |
Credential | LPC |
Practice Address |
287 Main St East Hartford CT 06118-1885 |
Mailing Address |
148 Forest Rd Coventry CT 06238-2922 |
Practice Telephone | 8605695900 |
Mailing Telephone | 8609771903 |
Enumeration Date | 2019-03-21 |
Last Update Date | 2019-03-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
3701 | CT | Behavioral Health & Social Service Providers |
Street Address |
287 MAIN ST |
City | EAST HARTFORD |
State | CT |
Zip Code | 06118-1885 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437411477 | Mayelin Jimenez | Pharmacy Technician | 287 Main St, Suite A-2, East Hartford, CT 06118-1885 | 2012-06-14 |
1275801185 | Melissa Paola Malave | Counselor | 287 Main St, East Hartford, CT 06118-1885 | 2011-12-06 |
1295019271 | Arthur Tipton | Pharmacist | 287 Main St, A-2, East Hartford, CT 06118-1885 | 2011-10-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457909665 | Theresa R Gardener | Home Health Aide | 38 Footpath Lane, East Hartford, CT 06118 | 2019-08-30 |
1841761731 | Zoey Walker | Nurse Practitioner | 281/287 Main Street, East Hartford, CT 06118 | 2018-12-17 |
1487147419 | Nesti Risto | Pharmacist | 940 Silver Lane, East Hartford, CT 06118 | 2018-06-13 |
1497022578 | Gifty Oteng | Pharmacist | 46 Fowler Ln, East Hartford, CT 06118 | 2011-11-17 |
1972556165 | Hartford Headache Center, LLC | Nurse Practitioner | 144 Main Street, Suite D, East Hartford, CT 06118 | 2006-05-18 |
1689636045 | Richard E Amaral | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2006-04-03 |
1447789839 | Gino Zaccardelli | Pharmacist | 16 Main St, East Hartford, CT 06118 | 2017-06-08 |
1881067247 | Christina Morrissey | Nurse Practitioner | 281 Main St, East Hartford, CT 06118 | 2015-11-07 |
1871961052 | Christina Marchitto | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2015-09-04 |
1942592514 | Chad Mcdonald | Family Medicine | 281 Main St, East Hartford, CT 06118 | 2011-05-13 |
Find all providers in zip 06118 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427612118 | Tyree Hughey | Counselor | 10 Hilltop Farms Ln, East Hartford, CT 06118-1754 | 2019-04-28 |
1194172197 | Allisia Green | Counselor | 40 Butternut Dr, East Hartford, CT 06118-1906 | 2016-05-19 |
1558436915 | Richard G Mellow | Counselor | 527 Burnside Ave, Suite 7, East Hartford, CT 06108-3512 | 2006-11-21 |
1013526102 | Rachel Ann Mckenzie | Counselor | 281 Main St, East Hartford, CT 06118-1823 | 2020-07-24 |
1639658669 | Lindsay Schwabe | Counselor | 474r School St, East Hartford, CT 06108-1149 | 2018-08-10 |
1972020295 | Community Matters, LLC | Counselor | 205 Burnside Ave Ste 204, East Hartford, CT 06108-2355 | 2017-08-28 |
1295104065 | Crystal Benoit | Counselor | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2015-09-22 |
1497130140 | Marah Lyn Savic | Counselor | 281 Main St, East Hartford, CT 06118-1823 | 2015-07-23 |
1073925756 | Susan Falato | Counselor | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2014-05-29 |
1760804942 | 3b Wellness Counseling and Coaching, LLC | Counselor | 28 Main St, 2nd Floor, East Hartford, CT 06118-3243 | 2014-01-07 |
Find all providers in EAST HARTFORD |
City | EAST HARTFORD |
Zip Code | 06118 |
Please comment or provide details below to improve the information on COLLEEN WALLACE MASTROIANNI.
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.