DR. JACK M. CHINSKY (NPI# 1669584074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669584074 |
| Entity Type | Individual |
| Full Name | DR. JACK M. CHINSKY |
| Credential | PH.D. |
| Practice Address |
1169 Ellington Rd South Windsor CT 06074-3515 |
| Practice Telephone | 8602894404 |
| Practice Fax Number | 8602894401 |
| Mailing Telephone | 8602894404 |
| Mailing Fax Number | 8602894401 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
000461 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1169 ELLINGTON RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659300358 | Robin Surwilo | Psychologist | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2006-07-03 |
| 1396305520 | Stephanie Morgan LLC | Marriage & Family Therapist | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2019-06-19 |
| 1770005100 | Sharon Manasevit Harris | Social Worker | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2017-07-07 |
| 1003281841 | Christopher J Griffin | Counselor | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2015-12-04 |
| 1336511559 | Andrew Halpern | Counselor | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2015-10-27 |
| 1083085740 | Stephanie Snow, Ph.d., LLC | Psychologist | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2015-10-07 |
| 1124425582 | Cynthia Gillette | Social Worker | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2014-12-01 |
| 1912275744 | Stephanie Snow | Psychologist | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2011-12-07 |
| 1235420977 | Karen Foley-schain Ma Med LLC | Counselor | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2011-04-28 |
| 1376785808 | Enhancing Behavioral Choices | Marriage & Family Therapist | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2009-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659300358 | Robin Surwilo | Psychologist | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2006-07-03 |
| 1396782249 | Aletheia Psychological Services | Psychologist | 225 Oakland Rd, South Windsor, CT 06074-2893 | 2006-06-01 |
| 1588601413 | C.a.a.p. | Psychologist | 22 Morgan Farms Dr, South Windsor, CT 06074-1385 | 2006-05-31 |
| 1083085740 | Stephanie Snow, Ph.d., LLC | Psychologist | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2015-10-07 |
| 1912275744 | Stephanie Snow | Psychologist | 1169 Ellington Rd, South Windsor, CT 06074-3515 | 2011-12-07 |
| 1306999586 | Anne Lee Shapiro | Psychologist | 435 Buckland Rd, South Windsor, CT 06074 | 2007-01-19 |
| 1144302431 | Melissa Claire Sheardwright | Psychologist | 152 Deming St, South Windsor, CT 06074-3740 | 2006-10-19 |
| 1285676114 | Christine H Farber | Psychologist | 225 Oakland Rd, 301, South Windsor, CT 06074-2893 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on DR. JACK M. CHINSKY.
| 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.