DR. KRISTA DALBEC MRAZ (NPI# 1619245313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619245313 |
| Entity Type | Individual |
| Full Name | DR. KRISTA DALBEC MRAZ |
| Credential | PH.D. |
| Practice Address |
300 Hebron Ave Unit 111 Glastonbury CT 06033-2176 |
| Practice Telephone | 8606338155 |
| Mailing Telephone | 8606338155 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 002990 | CT | Behavioral Health & Social Service Providers |
| Street Address |
300 HEBRON AVE UNIT 111 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285629410 | Joseph B Sappington | Internal Medicine | 300 Hebron Ave, Ste 213, Glastonbury, CT 06033-2176 | 2005-09-14 |
| 1609240498 | Deirdre Osypuk | Psychologist | 300 Hebron Ave, Suite 217, Glastonbury, CT 06033-2176 | 2015-11-17 |
| 1396151619 | Christopher Frank Mercier | Physician Assistant | 300 Hebron Ave, Suite 113, Glastonbury, CT 06033-2176 | 2014-07-08 |
| 1386071710 | Albert Zucchetto | Nurse Practitioner | 300 Hebron Ave, Glastonbury, CT 06033-2176 | 2013-09-30 |
| 1457699712 | Evan Fox Md, LLC | Psychiatry & Neurology | 300 Hebron Ave, Suite 107, Glastonbury, CT 06033-2176 | 2013-01-22 |
| 1912271545 | Rose M. Spielman | Psychologist | 300 Hebron Ave, Suite 217 Medical Arts Center, Glastonbury, CT 06033-2176 | 2012-02-29 |
| 1386922151 | Dpmdeckerprct, LLC | Durable Medical Equipment & Medical Supplies | 300 Hebron Ave, Suite 211, Glastonbury, CT 06033-2176 | 2011-07-28 |
| 1407146897 | Dpmdeckerprct LLC | Podiatrist | 300 Hebron Ave, Suite 211, Glastonbury, CT 06033-2176 | 2011-04-19 |
| 1568694669 | Karen Michelle Freed | Nurse Practitioner | 300 Hebron Ave, Suite 107, Glastonbury, CT 06033-2176 | 2009-08-23 |
| 1578795225 | Eric John Whidden | Dentist | 300 Hebron Ave, Suite 112, Glastonbury, CT 06033-2176 | 2009-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295924546 | Ralph Sperry | Clinical Neuropsychologist | 397 Overlook Rd, Glastonbury, CT 06033-3719 | 2007-10-22 |
| 1558324434 | Kurt Charles Bellhorn | Clinical Neuropsychologist | 148 Eastern Blvd, Suite 306, Glastonbury, CT 06033-4321 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761224 | Shumita Roy | Clinical Neuropsychologist | 18 N Main St Fl 2, West Hartford, CT 06107-1970 | 2018-02-27 |
| 1992216790 | Brisman Associates In Neuropsychology, Pllc | Clinical Neuropsychologist | 433 S Main St Ste 225, West Hartford, CT 06110-2812 | 2017-10-19 |
| 1083157556 | Eva Troyb | Clinical Neuropsychologist | 26 Hawks Lndg, Amston, CT 06231-1659 | 2016-11-30 |
| 1669824702 | Martin D Oliveira Psy D LLC | Clinical Neuropsychologist | 10 N Main St Ste 1, West Hartford, CT 06107-1968 | 2016-07-12 |
| 1497151245 | Connecticut Neuropsychological Associates, LLC | Clinical Neuropsychologist | 40 Connecticut Ave, Norwich, CT 06360-1502 | 2014-11-06 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1922424175 | Psych Solutions LLC | Clinical Neuropsychologist | 2795 Albany Ave, West Hartford, CT 06117-1804 | 2014-03-12 |
| 1194157313 | Ginger Mills | Clinical Neuropsychologist | 623 Newfield Ave, Stamford, CT 06905-3302 | 2013-07-30 |
| 1144561051 | Western Connecticut Behavioral Health | Clinical Neuropsychologist | 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 | 2013-03-04 |
| 1043569288 | David Porrino | Clinical Neuropsychologist | 85 Old Kings Hwy N Fl 2, Darien, CT 06820-4732 | 2012-09-04 |
| Find all providers with the same taxonomy | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
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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.