JUDITH FABRICANT (NPI# 1598862153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598862153 |
| Entity Type | Individual |
| Full Name | JUDITH FABRICANT |
| Credential | LMFT |
| Practice Address |
154 Hempstead St New London CT 06320-5638 |
| Mailing Address |
21 Montauk Ave Ste G03 New London CT 06320-4906 |
| Practice Telephone | 8609129584 |
| Mailing Telephone | 8604431111 |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | CT 000425 | CT | Behavioral Health & Social Service Providers |
| Street Address |
154 HEMPSTEAD ST |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291260 | Roger G. Marinelli IIi | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2020-09-28 |
| 1972914984 | Ryan Martin | Counselor | 154 Hempstead St, New London, CT 06320-5638 | 2014-05-13 |
| 1205174588 | Reginald Harris | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2013-01-22 |
| 1093067019 | Gwenn Rosenberg | Naturopath | 154 Hempstead St, First Floor, New London, CT 06320 | 2012-10-15 |
| 1740550987 | Michael J Alger | Counselor | 154 Hempstead St, New London, CT 06320-5638 | 2012-01-05 |
| 1528335445 | Susan Marie Bainbridge | Counselor | 154 Hempstead St, 1st Floor, New London, CT 06320-5638 | 2011-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
| 1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
| 1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
| 1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
| 1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
| 1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
| 1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
| 1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
| 1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
| 1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
| Find all providers in zip 06320 | ||||
| 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 |
|---|---|---|---|---|
| 1437701497 | Denyce Marie Martell | Marriage & Family Therapist | 154 Hempstead St Fl 2, New London, CT 06320-5638 | 2019-07-10 |
| 1265998298 | Rebecca Tydeman | Marriage & Family Therapist | 351 N Frontage Rd Ste 24, New London, CT 06320-2628 | 2019-02-14 |
| 1538566831 | Jamie P Thompson | Marriage & Family Therapist | 44381 Nc 740 Hwy, New London, NC 28127-9618 | 2014-12-02 |
| 1649681149 | Lucy Domenie Solari | Marriage & Family Therapist | 464 Ocean Ave Ste 300, New London, CT 06320-4544 | 2014-05-19 |
| 1437392545 | Claire A. Mcintyre | Marriage & Family Therapist | 165 State St Ste 220, New London, CT 06320-6304 | 2009-04-20 |
| 1902945314 | Tricia Elizabeth Capozza | Marriage & Family Therapist | 445 Ocean Ave, New London, CT 06320-4502 | 2007-02-05 |
| 1932282787 | Judith Irene Pederson | Marriage & Family Therapist | 430 S Andrew Dr Ne, New London, MN 56273 | 2006-10-23 |
| 1639267909 | Lisa Karen Pionke | Marriage & Family Therapist | Rmms - 1 Bulkeley Place, New London, CT 06320 | 2006-10-11 |
| 1598770448 | Dawn Meredith Zarycki | Marriage & Family Therapist | 7 Vauxhall Street, New London, CT 06320 | 2006-07-29 |
| 1780291260 | Roger G. Marinelli IIi | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2020-09-28 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on JUDITH FABRICANT.
| 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.