MARK WILLIAM AUGUSTINE (NPI# 1548349541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548349541 |
| Entity Type | Individual |
| Full Name | MARK WILLIAM AUGUSTINE |
| Credential | LMFT |
| Practice Address |
70 Pine St Waterbury CT 06710-2169 |
| Practice Telephone | 2037567287 |
| Practice Fax Number | 2035962789 |
| Mailing Telephone | 2037567287 |
| Mailing Fax Number | 2035962789 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-02-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | CT000994 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004242327 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467444547 | Mark Nolan Augustine | Physical Therapist | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2005-08-16 |
| Street Address |
70 PINE ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06710-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881066355 | Craig Rebecca Schiavone | Student in an Organized Health Care Education/Training Program | 70 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | 2015-10-23 |
| 1457747982 | Sylvia G Santos | Physician Assistant | 70 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | 2015-04-10 |
| 1598153124 | Michelle Wright | Counselor | 70 Pine St, Waterbury, CT 06710-2169 | 2015-01-06 |
| 1245632967 | Ashley W Walker | Student in an Organized Health Care Education/Training Program | 70 Pine St, Waterbury, CT 06710-2169 | 2014-09-24 |
| 1104267798 | Kimberly A Rinko | Social Worker | 70 Pine St, Waterbury, CT 06710-2169 | 2013-07-10 |
| 1598105439 | Eugenia M Brockett | Marriage & Family Therapist | 70 Pine St, Pine St School Based, Waterbury, CT 06710-2169 | 2013-06-25 |
| 1780925586 | Lauren Harkins | Counselor | 70 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | 2013-03-05 |
| 1780936088 | Lamond T Daniels | Social Worker | 70 Pine St, Waterbury, CT 06710-2169 | 2012-10-10 |
| 1073871851 | Tasha E Lott | Social Worker | 70 Pine St, Waterbury Clinical Services, Waterbury, CT 06710-2169 | 2012-04-30 |
| 1619101227 | Amy Marie Stack | Counselor | 70 Pine St, Waterbury, CT 06710-2169 | 2009-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417511718 | Michael A Mastroianni | Pharmacist | Stolls Pharmacy Inc, 185 Grove St, Waterbury, CT 06710 | 2019-04-23 |
| 1508127598 | Brenda Mcleod | Technician, Pathology | 150 Manhan St Bldg 8 Unit 5, Waterbury, CT 06710 | 2012-06-06 |
| 1659536936 | Michelle Gomes Ferreira-machado | Social Worker | 34 Murray St., Family Services of Greater Watebury, Waterbury, CT 06710 | 2008-07-25 |
| 1588699557 | Adriane Guerin | Physician Assistant | 179 Roseland Ave, Waterbury, CT 06710 | 2006-07-11 |
| 1013311554 | Chelsey Micciche | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-10-13 |
| 1972905321 | Carmen Woodcock | Student in an Organized Health Care Education/Training Program | 34 Murray Street, Waterbury, CT 06710 | 2014-09-17 |
| 1841597663 | Avis Foster | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-14 |
| 1528364783 | Quiana Scott | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2011-02-07 |
| 1063716363 | Natalie Luciano | Student in an Organized Health Care Education/Training Program | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| 1134423437 | Mildred Figueroa | Social Worker | 34 Murray St., Waterbury, CT 06710 | 2010-12-29 |
| Find all providers in zip 06710 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294056 | Keyndra Lewis | Marriage & Family Therapist | 116 Courtland Ave, Waterbury, CT 06705-2412 | 2020-10-27 |
| 1952934507 | Donald Joseph Smith Jr. | Marriage & Family Therapist | 1389 W Main St Ste 312, Waterbury, CT 06708-3115 | 2020-02-21 |
| 1568837177 | Renee Katie Kochera | Marriage & Family Therapist | 925 Oronoke Rd, Unit 41-h, Waterbury, CT 06708-3945 | 2015-12-08 |
| 1265773881 | Sharayah Morrissey | Marriage & Family Therapist | 141 E Main St Fl 2, Waterbury, CT 06702-2310 | 2013-03-06 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1447464763 | Elsa J. Jimenez-francis | Marriage & Family Therapist | 402 East Main St, Wellmore Behavioral Health - Bsf, Waterbury, CT 06702-1701 | 2007-05-09 |
| 1619190253 | Michele K Flowers | Marriage & Family Therapist | 16 Corona Dr, Waterbury, CT 06708-1705 | 2007-04-11 |
| 1366566630 | Steven B Duley | Marriage & Family Therapist | 34 Murray Street, Family Services of Greater Waterbury, Waterbury, CT 06710-1920 | 2007-03-19 |
| 1710001664 | Viann Oden | Marriage & Family Therapist | 252 N Pinnacle Ridge Rd, Waterbury, VT 05676-9142 | 2007-03-18 |
| 1750414793 | Joyce A Chesery | Marriage & Family Therapist | 1138 West Main Street, Waterbury, CT 06708 | 2007-03-13 |
| Find all providers in WATERBURY | ||||
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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.