SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC (NPI# 1639377328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639377328 |
| Entity Type | Organization |
| Organization Name | SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC |
| Practice Address |
20 Old Kings Hwy S 2nd Floor Darien CT 06820-4521 |
| Practice Telephone | 2036561452 |
| Practice Fax Number | 2036561485 |
| Mailing Telephone | 2036561452 |
| Mailing Fax Number | 2036561485 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BART A SLOAN (PRESIDENT) |
| Authorized Official Telephone | 2036561452 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194923888 | Shoreline Psychiatry of Western Connecticut, LLC | Clinical Nurse Specialist | 20 Old Kings Hwy S, 2nd Floor, Darien, CT 06820-4521 | 2007-07-05 |
| 1134251564 | Shoreline Psychiatry of Western Connecticut, LLC | Psychiatry & Neurology | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2007-03-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC | 71 East Ave Suite V, Norwalk, CT 06851 |
| Street Address |
20 OLD KINGS HWY S 2ND FLOOR |
| City | DARIEN |
| State | CT |
| Zip Code | 06820-4521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114934874 | Josephine Velazquez | Podiatrist | 20 Old Kings Hwy S, Darien, CT 06820-4521 | 2006-08-02 |
| 1194923888 | Shoreline Psychiatry of Western Connecticut, LLC | Clinical Nurse Specialist | 20 Old Kings Hwy S, 2nd Floor, Darien, CT 06820-4521 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225574445 | Resolution Wellness | Physical Therapist | 5 Tokeneke Rd, Darien, CT 06820 | 2017-01-11 |
| 1548619158 | Gurpreet Singh | Pharmacist | 964 Post Road, Darien, CT 06820 | 2016-06-06 |
| 1578830584 | Darien Pediatric Associates, LLC | Pediatrics | 106 Noroton Avenue, Darien, CT 06820 | 2011-11-18 |
| 1649574476 | Kelly Anne Wolfe | Physical Therapist | 319 Post Rd, Darien, CT 06820 | 2011-01-09 |
| 1932409612 | Suzanne T. Spinella-curto | Social Worker | 110 Post Road, Darien, CT 06820 | 2010-10-27 |
| 1568793644 | Alan Marc Muney | Pediatrics | 70 Leeuwarden Rd., Darien, CT 06820 | 2010-01-29 |
| 1134356959 | Yuen-jong Liu | Plastic Surgery | 722 Post Rd Ste 200, Darien, CT 06820 | 2009-06-18 |
| 1740431667 | Lisa Michelle Supino | Psychologist | 6 Thorndal Circle, Darien, CT 06820 | 2008-10-09 |
| 1326222522 | Sharon Ellen Kutner | Social Worker | Family Centers- Center for Hope, 590 Post Road, Darien, CT 06820 | 2007-12-24 |
| 1174719637 | Jeanne E Castellucci | Chiropractor | 747 Post Rd, Darien, CT 06820 | 2007-09-19 |
| Find all providers in zip 06820 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139196 | Joseph Demers | Psychologist | 330 Post Rd, Darien, CT 06820-3600 | 2019-11-21 |
| 1295292514 | Nancy Ellen Herse Sedlack | Psychologist | 36 Old Kings Hwy S Ste 310, Darien, CT 06820-4523 | 2019-02-22 |
| 1629587258 | Jennifer Anne Nielsen | Psychologist | 77 Linden Ave, Darien, CT 06820-5136 | 2017-09-26 |
| 1780805200 | Marta A. Elders | Psychologist | 142 5 Mile River Rd, Darien, CT 06820-6236 | 2007-05-01 |
| 1598886574 | Francenter | Psychologist | 1510 Plainfield Rd Ste 1, Darien, IL 60561-4919 | 2007-04-03 |
| 1710537758 | Karen Rothballer Seelert | Psychologist | 85 Old Kings Hwy N, Darien, CT 06820-4732 | 2019-09-11 |
| 1598297004 | Rachel Diorio | Psychologist | 85 Old Kings Hwy N, Darien, CT 06820-4732 | 2017-04-03 |
| 1275739831 | Geriatric Psychiatry Associates, PC | Psychologist | 17 Old Kings Hwy S, Suite 1-2, Darien, CT 06820-4522 | 2007-06-21 |
| 1891912739 | William Alan Blank | Psychologist | 137 Hollow Tree Ridge Rd, Apartment 403, Darien, CT 06820-5045 | 2007-04-20 |
| 1417067190 | Vijayalakshmi Susarla | Psychologist | 2628 83rd St, Darien, IL 60561-1661 | 2006-08-30 |
| Find all providers in DARIEN | ||||
Please comment or provide details below to improve the information on SHORELINE PSYCHIATRY OF WESTERN CONNECTICUT, LLC.
| 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.