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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004039632 | 05 |
Street Address |
100 DEERFIELD RD |
City | WINDSOR |
State | CT |
Zip Code | 06095-4252 |
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 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
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 |
1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
Find all providers in zip 06095 |
Taxonomy Code | 261QR0401X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Definition to come... |
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 |
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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.