DR. JEAN CARL JARDA (NPI# 1669402343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669402343 |
| Entity Type | Individual |
| Full Name | DR. JEAN CARL JARDA |
| Credential | M.D. |
| Practice Address |
28-2 Shunpike Rd Cromwell CT 06416 |
| Mailing Address |
595 Ridgewood Rd Middletown CT 06457-1950 |
| Practice Telephone | 8606351441 |
| Practice Fax Number | 8606351454 |
| Mailing Telephone | 8606351441 |
| Mailing Fax Number | 8606351454 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
029551 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
28-2 SHUNPIKE RD |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1154583748 | Zinaida Boutaeva | Psychiatry & Neurology | 6232 Avalon Dr W, Orange, CT 06477-3679 | 2008-06-25 |
| 1144406802 | Shanthi Mogali | Psychiatry & Neurology | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2008-01-11 |
| 1336124676 | Yuencheng Han | Psychiatry & Neurology | 750 Straits Tpke, Middlebury, CT 06762-2833 | 2005-12-09 |
| 1831647957 | Straun Health & Wellness | Psychiatry & Neurology | 1224 Mill St, Bldg B, East Berlin, CT 06023-1159 | 2016-09-18 |
| 1528444346 | Marie-josee A. Lynch | Psychiatry & Neurology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-08-04 |
| 1215367081 | Gengyun Wen | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2013-11-15 |
| 1043560287 | Michael Kofi Adusei | Psychiatry & Neurology | 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 | 2012-09-14 |
| 1023370186 | Maria Ghanbari Motlagh | Psychiatry & Neurology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-06-13 |
| 1205077542 | Brighter Concept Inc. | Psychiatry & Neurology | 2000 Post Rd, Suite # Ll 105, Fairfield, CT 06824-5730 | 2009-03-17 |
| Find all providers with the same taxonomy | ||||
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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.