NEUROLOGICAL SPECIALIST, P.C. (NPI# 1558314997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558314997 |
| Entity Type | Organization |
| Organization Name | NEUROLOGICAL SPECIALIST, P.C. |
| Practice Address |
99 Hawley Ln Stratford CT 06614-1202 |
| Mailing Address |
2590 Main St Stratford CT 06615-5838 |
| Practice Telephone | 2033774788 |
| Practice Fax Number | 2033800531 |
| Mailing Telephone | 1203377598 |
| Mailing Fax Number | 1203380053 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-02-25 |
| Authorized Official Name | PAMELA ANN TRUEDSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 2032579302 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
038663 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004084563 | 05 |
| Street Address |
99 HAWLEY LN |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649740051 | Christopher Daniel Hausser | Pharmacist | 99 Hawley Ln, Stratford, CT 06614-1202 | 2018-11-28 |
| 1326541822 | Jonathan Harry Lippa | Pharmacist | 99 Hawley Ln, Stratford, CT 06614-1202 | 2018-03-12 |
| 1245581800 | Patrice M Katz | Dietitian, Registered | 99 Hawley Ln, Suite 1204, Stratford, CT 06614-1202 | 2012-09-24 |
| 1780727313 | Vitas Healthcare Corporation Atlantic | Hospice Care, Community Based | 99 Hawley Ln, Merritt 8 Corporate Park, Suite 1204, Stratford, CT 06614 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1922590884 | Rowansom Dept of Neurology | Psychiatry & Neurology | 42 E Laurel Rd Ste 3100, Stratford, NJ 08084-1354 | 2018-06-05 |
| 1710183314 | Yaniv Chen | Psychiatry & Neurology | 2590 Main St, 2nd Floor, Stratford, CT 06615-5838 | 2007-06-21 |
| 1306942933 | Valeria Serban | Psychiatry & Neurology | 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084-1354 | 2006-09-14 |
| 1598779670 | Sean Tomar Hubbard | Psychiatry & Neurology | 42 E Laurel Rd Ste 3500, Stratford, NJ 08084-1354 | 2006-07-27 |
| 1295762029 | Philip Barasch | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-27 |
| 1992731889 | Lawrence Beck | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-23 |
| 1508802935 | James Butler | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-22 |
| 1063458800 | Lisa Webb | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-21 |
| 1730121377 | Kanaga Sena | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-11 |
| Find all providers in STRATFORD | ||||
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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.