LIBERTY HEALTHCARE, LLC (NPI# 1629374178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629374178 |
| Entity Type | Organization |
| Organization Name | LIBERTY HEALTHCARE, LLC |
| Practice Address |
18 Hart St New Britain CT 06052 |
| Practice Telephone | 8603574112 |
| Practice Fax Number | 8603574253 |
| Mailing Telephone | 8603574112 |
| Mailing Fax Number | 8603574253 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | LUCIA DEVIVO-CATALANO (OWNER) |
| Authorized Official Telephone | 8603574112 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
000570 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18 HART ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598240830 | Cristina Meehan | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2018-10-02 |
| 1841775780 | Christine Tosone Damato | Behavioral Analyst | 18 Hart St, New Britain, CT 06052-1702 | 2018-09-26 |
| 1669876470 | Tracy Blanford | Nurse Practitioner | 18 Hart St, New Britain, CT 06052-1702 | 2014-10-22 |
| 1801151105 | Liberty Healthcare LLC | Psychologist | 18 Hart St, New Britain, CT 06052-1702 | 2012-07-12 |
| 1023301934 | Catsco Homecare Inc | Community Health Worker | 18 Hart St, New Britain, CT 06052 | 2011-05-25 |
| 1205125408 | Nutmeg Healthcare Inc | Registered Nurse | 18 Hart St, New Britain, CT 06052-1702 | 2011-03-29 |
| 1245342617 | Lucia Devivo Catalano | Clinical Nurse Specialist | 18 Hart St, New Britain, CT 06052-1702 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| 1306979257 | Lucyna T Kolakowska | Internal Medicine | 247 West Main Street, New Britain, CT 06052 | 2007-03-13 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1295207058 | Olivia Carter | Nurse Practitioner | 55 Lexington St, New Britain, CT 06052-1416 | 2018-12-18 |
| 1003388919 | Laura Elizabeth Gabriel | Nurse Practitioner | 370 Osgood Avenue, New Britain, CT 06053 | 2018-12-18 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1811995103 | Mary Lou Graham | Nurse Practitioner | 14 Cedar St, New Britain, CT 06052-1302 | 2005-07-11 |
| 1215545090 | Liv Well Behavioral Services | Nurse Practitioner | 55 Lexington St, New Britain, CT 06052-1416 | 2020-07-17 |
| 1134753288 | Dawn Erlingson | Nurse Practitioner | 233 Main St, New Britain, CT 06051-4204 | 2020-02-27 |
| 1508330911 | Sophia Lopez | Nurse Practitioner | 73 Cedar St, New Britain, CT 06052-1301 | 2019-01-18 |
| 1194297093 | Naomi Helene Turner | Nurse Practitioner | 2150 Corbin Ave, New Britain, CT 06053-2298 | 2018-12-18 |
| 1598240830 | Cristina Meehan | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2018-10-02 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
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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.