KEY AUTISM SERVICES CT, LLC (NPI# 1588218192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588218192 |
| Entity Type | Organization |
| Organization Name | KEY AUTISM SERVICES CT, LLC |
| Practice Address |
1266 E Main St Ste 700r Stamford CT 06902-3507 |
| Mailing Address |
106 Apple St Ste 221 Tinton Falls NJ 07724-2670 |
| Practice Telephone | 8578294040 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | MARK HARPER (DIR OF OPERATIONS) |
| Authorized Official Telephone | 8578294040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | KEY AUTISM SERVICES CT, LLC | 106 Apple Street, Suite 222, Tinton Falls, NJ 07724 |
| Street Address |
1266 E MAIN ST STE 700R |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114234697 | Nutmeg Dental, P.C. | Dentist | 1266 E Main St Ste 700r, Stamford, CT 06902-3550 | 2010-09-07 |
| 1609420181 | Ride With Care Ambulette Transportation | Non-emergency Medical Transport (VAN) | 1266 E Main St Ste 700r, Stamford, CT 06902-3507 | 2019-08-01 |
| 1609128032 | Angel 's Care Agency | Nursing Care | 1266 E Main St Ste 700r, Stamford, CT 06902-3550 | 2012-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182834 | Growth and Development LLC | Community/Behavioral Health | C/o Humanly, 1200 High Ridge Rd Ste 208, Stamford, CT 06905-1202 | 2020-10-20 |
| 1770845471 | Bnb Global Services | Community/Behavioral Health | 154 Cold Spring Rd, Unit 68, Stamford, CT 06905-4235 | 2012-06-09 |
| 1316265143 | Renew Counseling Associates | Community/Behavioral Health | 455 Old Long Ridge Rd, Stamford, CT 06903-1112 | 2010-05-04 |
| 1629581392 | Stephanie Garcia | Community/Behavioral Health | 666 Glenbrook Rd, Stamford, CT 06906-1439 | 2017-11-15 |
| 1407301963 | Eva C Spijkers | Community/Behavioral Health | 76 Progress Dr, Stamford, CT 06902-3600 | 2016-08-24 |
| 1942753017 | Vesta Counseling Services | Community/Behavioral Health | 76 Progress Dr, Stamford, CT 06902-3600 | 2016-07-25 |
| 1457711954 | Terapia De Juego, LLC | Community/Behavioral Health | 30 Myano Ln, Suite 20, Stamford, CT 06902-4532 | 2016-02-26 |
| 1992196125 | F.s. Dubois Center | Community/Behavioral Health | 780 Summer St, Stamford, CT 06901-1089 | 2015-02-10 |
| 1811395700 | Seed Center | Community/Behavioral Health | 30 Buxton Farm Rd, Suite 105, Stamford, CT 06905-1224 | 2014-12-09 |
| 1619308764 | Child Guidance Center | Community/Behavioral Health | 103 W Broad St, Stamford, CT 06902-3713 | 2013-11-27 |
| Find all providers in STAMFORD | ||||
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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.