DR. KENNETH S BLATT (NPI# 1619030103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619030103 |
| Entity Type | Individual |
| Full Name | DR. KENNETH S BLATT |
| Credential | MD |
| Practice Address |
500 Vine St Capitol Region Mental Health Center Hartford CT 06112-1639 |
| Mailing Address |
836 Farmington Ave West Hartford CT 06119-1505 |
| Practice Telephone | 8602970905 |
| Practice Fax Number | 8602970914 |
| Mailing Telephone | 8602970905 |
| Mailing Fax Number | 8602970914 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
018051 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326078320 | Kenneth B Blatt | Radiology | 2130 Millburn Ave, Suite A8, Maplewood, NJ 07040-3725 | 2006-07-04 |
| Street Address |
500 VINE ST CAPITOL REGION MENTAL HEALTH CENTER |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922644 | Thomas Joseph O'brien | Psychologist | 500 Vine St, Hartford, CT 06112-1639 | 2005-12-09 |
| 1053785816 | Annette Sanabria | Social Worker | 500 Vine St, Human Resources, Hartford, CT 06112-1639 | 2015-11-17 |
| 1053705137 | Anita Lowe-choa-lee | Nurse Practitioner | 500 Vine St, Hartford, CT 06112-1639 | 2015-03-26 |
| 1265851208 | Carol Griffith | Pharmacist | 500 Vine St, Hartford, CT 06112-1639 | 2014-04-07 |
| 1285973347 | Kelechi O Ogbonna | Psychiatry & Neurology | 500 Vine St, Hartford, CT 06112-1639 | 2013-02-10 |
| 1356604565 | Eartha Henry | Social Worker | 500 Vine St, Hartford, CT 06112 | 2012-06-21 |
| 1538480876 | Steven Michael Karas | Social Worker | 500 Vine St, Capitol Region Mental Health Center, Hartford, CT 06112 | 2010-06-22 |
| 1154558385 | Marina Sciucco | Nurse Practitioner | 500 Vine St, Hartford, CT 06112-1639 | 2009-06-15 |
| 1730332487 | Agnes Black | Social Worker | 500 Vine St, Capitol Region Mental Health Center, Hartford, CT 06114 | 2008-10-28 |
| 1366617102 | Eliezer Rodriguez | Social Worker | 500 Vine St, Hartford, CT 06112-1639 | 2008-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1679611198 | George Elias Mandalos | Psychiatry & Neurology | 100 Retreat Av, Suite 612, Hartford, CT 06106 | 2007-02-05 |
| 1730233305 | Roy Kenneth Lafrenier | Psychiatry & Neurology | 100 Retreat Avenue, Hartford, CT 06106 | 2007-01-22 |
| 1275611485 | Marvinzelman, M.d., P.C. | Psychiatry & Neurology | 31 Woodland St, 1a, Hartford, CT 06105-4335 | 2006-11-02 |
| 1205859485 | Christine A. Miller | Psychiatry & Neurology | 49 School Street, Hartford, VT 05047-0709 | 2006-07-26 |
| 1578583142 | Patricia A Daly | Psychiatry & Neurology | 49 School St., Hcrs, Hartford, VT 05047 | 2006-07-19 |
| 1902839871 | William Confer Alder | Psychiatry & Neurology | 660 Prospect Ave, Hartford, CT 06105-4230 | 2006-07-07 |
| 1639145139 | Nayer S. Bukhari | Psychiatry & Neurology | Saint Francis Hospital and Medical Center, 114 Woodland Street, Ms70102, Hartford, CT 06105-1299 | 2006-02-24 |
| 1285605071 | Eugenia Popescu | Psychiatry & Neurology | 103 Westerly Ter, Hartford, CT 06105-1118 | 2006-01-30 |
| 1457908048 | Nicole Snyder | Psychiatry & Neurology | 14 Weston St, Hartford, CT 06120-1504 | 2019-08-20 |
| Find all providers in HARTFORD | ||||
Please comment or provide details below to improve the information on DR. KENNETH S BLATT.
| 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.