JOEL KLUG (NPI# 1619374204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619374204 |
| Entity Type | Individual |
| Full Name | JOEL KLUG |
| Credential | CVRT |
| Practice Address |
950 Campbell Ave. Va Connecticut West Haven CT 06516 |
| Mailing Address |
32 Nichols St Apt. 5 Rutland VT 05701-3282 |
| Practice Telephone | 2039325711 |
| Mailing Telephone | 8025585735 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
950 CAMPBELL AVE. VA CONNECTICUT |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003913450 | Robert Alan Rosenheck | Psychiatry & Neurology | 950 Campbell Ave., West Haven, CT 06516 | 2006-09-20 |
| 1306172879 | Victoria Vagnini | Psychologist | 950 Campbell Ave., Va Connecticut Healthcare System, West Haven, CT 06516 | 2009-10-19 |
| 1255412607 | Ann M. Rasmusson | Psychiatry & Neurology | 950 Campbell Ave., Va Connecticut Healthcare System, West Haven, CT 06516 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043553175 | Shenita Wiggins | Specialist/Technologist | 950 Campbell Ave, Eastern Blind Rehabilitation Service Center, West Haven, CT 06516 | 2013-03-27 |
| 1730270190 | Judith Esther Tencza | Specialist/Technologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-09-28 |
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on JOEL KLUG.
| 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.