MS. ELBA IRIS CRESPO (NPI# 1669528774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669528774 |
| Entity Type | Individual |
| Full Name | MS. ELBA IRIS CRESPO |
| Credential | PHD |
| Practice Address |
77 Eric St Bridgeport CT 06606-3118 |
| Practice Telephone | 2033749868 |
| Mailing Telephone | 2033749868 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 002555 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MHN | 330606 | 01 |
| CT | ANTHEM BC | 060002555CT01 | 01 |
| Street Address |
77 ERIC ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| 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 |
|---|---|---|---|---|
| 1891826517 | Adrienne A Bean | Psychologist | 114 Thompson Dr, Bridgeport, WV 26330-1644 | 2007-03-07 |
| 1225172786 | Harry Adamakos | Psychologist | 2157 North Ave, Bridgeport, CT 06604-2401 | 2007-02-17 |
| 1649382854 | Robert Steven Colen | Psychologist | 1635 Central Avenue, Room 213 Southwest Ct Mental Health System, Bridgeport, CT 06610 | 2006-09-01 |
| 1104803576 | Narine Karakashian | Psychologist | 114 Ventura Dr, Bridgeport, WV 26330-1380 | 2005-12-28 |
| 1043295850 | Annemarie Theresa Murphy | Psychologist | 1057 Broad St, Third Floor, Bridgeport, CT 06604-4219 | 2005-12-14 |
| 1770080186 | Liam Patrick Condon | Psychologist | 65 Professional Pl Ste 102103, Bridgeport, WV 26330-0258 | 2018-04-11 |
| 1366800757 | Corinne R Seville | Psychologist | 2400 Main St, Bridgeport, CT 06606-5323 | 2016-02-01 |
| 1528434115 | Preventative Healthcare Solutions LLC | Psychologist | 1187 Broad St, Lower Level, Bridgeport, CT 06604-4101 | 2015-08-18 |
| 1720498835 | Carol Annette Hughes | Psychologist | 527 Medical Park Dr, Suite 105, Bridgeport, WV 26330-9008 | 2014-04-29 |
| 1578855615 | Michelle Lee Wetzel | Psychologist | 917 W Main St, Suite 203, Bridgeport, WV 26330-1650 | 2011-05-09 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.