INTEGRATIVE MEDICINE AND PSYCHOTHERAPY OF GREENWICH LLC (NPI# 1538382049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538382049 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MEDICINE AND PSYCHOTHERAPY OF GREENWICH LLC |
| Other Organization Name | IMAP OF GREENWICH LLC |
| Practice Address |
360 West Putnam Avenue Greenwich CT 06830 |
| Practice Telephone | 2036222394 |
| Practice Fax Number | 2036222396 |
| Mailing Telephone | 2036222394 |
| Mailing Fax Number | 2036222396 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DEVRA LYNN BRAUN (OWNER MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2036222394 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
171049 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
002669 | CT | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
035318 | CT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IMAP of Greenwich LLC | Other Name - Individual/Organization |
| Street Address |
360 WEST PUTNAM AVENUE |
| City | GREENWICH |
| State | CT |
| Zip Code | 06830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303341 | Cristina Castagna | Physical Therapist | 500 West Putnam Ave, 3rd Floor, Greenwich, CT 06830 | 2020-10-16 |
| 1194334334 | Cognitive and Behavioral Care Center, LLC | Counselor | 55 Old Post Road #2, Suite 2c, Greenwich, CT 06830 | 2020-07-23 |
| 1245866433 | Barbara Edeson Roth | Speech-Language Pathologist | The Nathaniel Witherell Home, 70 Parsonage Road, Greenwich, CT 06830 | 2020-03-19 |
| 1750938932 | Evelyn Ramos | Licensed Practical Nurse | 111 Wilbur Peck Ct, Greenwich, CT 06830 | 2019-08-21 |
| 1134773674 | Alexandra Blair Conway | Psychologist | 55 Holly Hill Lane Suite 170, Greenwich, CT 06830 | 2019-08-01 |
| 1821560871 | Brionna Emily Lyles | Licensed Practical Nurse | 111 Wilbur Court, Greenwich, CT 06830 | 2018-12-31 |
| 1568959815 | Backcountry Wellness Inc. | Social Worker | 7 Lincoln Avenue, Greenwich, CT 06830 | 2018-04-21 |
| 1316455876 | Hillary Rea Bercovici | Counselor | 8 Sound Shore Dr Ste 130, Greenwich, CT 06830 | 2018-01-18 |
| 1689181083 | Coastal Eye Surgeons LLC | Ophthalmology | 600 W Putnam Ave Lowr Level, Greenwich, CT 06830 | 2018-01-07 |
| 1952853814 | Tina M. Crystal | Psychologist | 75 Holly Hill Lane, Suite 300, Greenwich, CT 06830 | 2016-10-26 |
| Find all providers in zip 06830 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457738825 | Adam Shapiro | Psychiatry & Neurology | Contemporary Care, 81 Holly Hill Ln . 2nd Floor, Greenwich, CT 06830 | 2015-05-05 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1902155526 | Contemporary Care LLC | Psychiatry & Neurology | 81 Holly Hill Ln, 2nd Flr, Greenwich, CT 06830-6071 | 2012-08-29 |
| 1992010227 | Charles Sperry Gardner | Psychiatry & Neurology | 409 Field Point Rd, Greenwich, CT 06830-7041 | 2010-08-11 |
| 1669612925 | Antigone D. Kostas | Psychiatry & Neurology | 75 Holly Hill Ln Ste 100, Greenwich, CT 06830-2917 | 2009-02-26 |
| 1750543864 | Carolyn J. Hahn | Psychiatry & Neurology | 55 Old Post Road 2, Suite 2c, Greenwich, CT 06830 | 2008-06-30 |
| 1003095282 | L. Arnold Wyse | Psychiatry & Neurology | 154 Stevenson Rd, Greenwich, NY 12834 | 2007-10-24 |
| 1013125350 | Ronald Alfred Grant | Psychiatry & Neurology | 45 E Putnam Ave, Greenwich, CT 06830-5438 | 2007-05-18 |
| 1407074925 | Joseph Anthony Deltito | Psychiatry & Neurology | 270 Greenwich Ave, Greenwich, CT 06830-6530 | 2007-04-22 |
| 1467587691 | Sidney H Hart | Psychiatry & Neurology | 282 Railroad Ave, Greenwich, CT 06830-6375 | 2007-02-21 |
| Find all providers in GREENWICH | ||||
Please comment or provide details below to improve the information on INTEGRATIVE MEDICINE AND PSYCHOTHERAPY OF GREENWICH 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.