EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT, INC.


Address: 100 Deerfield Rd, Windsor, CT 06095-4252
Phone: 8607149500

EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT, INC. (NPI# 1639177926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639177926
Entity Type Organization
Organization Name EASTER SEALS CAPITAL REGION & EASTERN CONNECTICUT, INC.
Practice Address 100 Deerfield Rd
Windsor
CT 06095-4252
Practice Telephone 8607149500
Practice Fax Number 8607148555
Mailing Telephone 8607149500
Mailing Fax Number 8607148979
Enumeration Date 2005-07-11
Last Update Date 2012-12-07
Authorized Official Name DR. ALLEN S. GOUSE (EXECUTIVE DIRECTOR)
Authorized Official Telephone 8607149501
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
074502 CT Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CT 004039632 05

Office Location

Street Address 100 DEERFIELD RD
City WINDSOR
State CT
Zip Code 06095-4252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447779509 Tiffany Konsza Psychologist 100 Deerfield Rd, Windsor, CT 06095-4252 2017-09-11
1467820944 Nicole M Barcelos Clinical Neuropsychologist 100 Deerfield Rd, Windsor, CT 06095-4252 2015-09-14
1164814463 Eli Aroesty Psychologist 100 Deerfield Rd, Windsor, CT 06095-4252 2015-02-23
1811394414 Lora Mason Occupational Therapist 100 Deerfield Rd, Windsor, CT 06095-4252 2014-11-25
1659644623 Erin O'brien Wilson Speech-Language Pathologist 100 Deerfield Rd, Windsor, CT 06095-4252 2012-02-21
1033412259 Cynthia D. Robbins Occupational Therapist 100 Deerfield Rd, Windsor, CT 06095-4252 2010-12-09
1881924439 Anabela Dasilva Smith Clinical Neuropsychologist 100 Deerfield Rd, Windsor, CT 06095-4252 2010-01-04
1649419151 Marina Chebotayev O'neil Speech-Language Pathologist 100 Deerfield Rd, Windsor, CT 06095-4252 2009-02-08
1093953531 Carol Ann Concannon Nurse Practitioner 100 Deerfield Rd, Windsor, CT 06095-4252 2009-01-21
1477727881 Heather Dawn Smith Speech-Language Pathologist 100 Deerfield Rd, Windsor, CT 06095-4252 2008-04-16
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NPI Name Taxonomy Address Enumeration
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1447629043 Brittany Higginbotham Marriage & Family Therapist 347 Park Avenue, Windsor, CT 06095 2015-09-24
1457737454 Eric Han Dentist 697 Poquonock Ave, Windsor, CT 06095 2015-08-03
1265780894 Annetta Ruth Troche Nurse Practitioner 22 Parkwood Drive, Windsor, CT 06095 2012-08-29
1821234006 Milna Rosario Social Worker 6 Poquonock Avenue, Windsor, CT 06095 2008-12-18
1962686824 Kimberly Ju Kim Pediatrics 820 C Prospect Hill Road, Windsor, CT 06095 2007-12-27
1972708758 Price Chopper Inc Pharmacy 675 Poquoncock Ave, Windsor, CT 06095 2007-06-20
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Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396145983 The Connection Inc Clinic/Center 1000 Main St, Apt 1, Coventry, CT 06238-3161 2014-09-02
1255536587 Ability Beyond Disability Clinic/Center 135 Old State Rd, Brookfield, CT 06804-2535 2007-06-18

Competitor

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City WINDSOR
Zip Code 06095

Improve Information

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Dataset Information

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.

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