THE CONNECTICUT CENTER FOR CHILD DEVELPMENT (NPI# 1548437387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548437387 |
| Entity Type | Organization |
| Organization Name | THE CONNECTICUT CENTER FOR CHILD DEVELPMENT |
| Practice Address |
925 Bridgeport Ave Milford CT 06460-3142 |
| Practice Telephone | 2038828810 |
| Practice Fax Number | 2038789468 |
| Mailing Telephone | 2038828810 |
| Mailing Fax Number | 2038789468 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | MRS. SUZANNE LETSO (CHIEF EXECTUTIVE OFFICER) |
| Authorized Official Telephone | 2038828810 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
925 BRIDGEPORT AVE |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689793549 | Stephanie A Kuhn | Psychologist | 49 Cedar Lane, Ridgefield, CT 06877 | 2007-03-29 |
| 1518485598 | Bria Adrianna Moore | Psychologist | 162 West St Ste F, Cromwell, CT 06416-4405 | 2017-08-30 |
| 1699214114 | Michael Powers | Psychologist | 2300 Main St, Glastonbury, CT 06033-2218 | 2017-02-16 |
| 1346692563 | The Center for Children With Special Needs, LLC | Psychologist | 2300 Main St, Glastonbury, CT 06033-2218 | 2016-07-12 |
| 1396048583 | Applied Behavioral Strategies | Psychologist | 73 Ford Rd, Woodbridge, CT 06525-1721 | 2010-12-10 |
Please comment or provide details below to improve the information on THE CONNECTICUT CENTER FOR CHILD DEVELPMENT.
| 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.