DR. INGE-MARIE EIGSTI (NPI# 1669675591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669675591 |
| Entity Type | Individual |
| Full Name | DR. INGE-MARIE EIGSTI |
| Credential | PH.D. |
| Practice Address |
207 Storrs Rd Mansfield Center CT 06250-1638 |
| Mailing Address |
207 Storrs Rd Po Box 174 Mansfield Center CT 06250-1638 |
| Practice Telephone | 8604564605 |
| Practice Fax Number | 8604561738 |
| Mailing Telephone | 8604564605 |
| Mailing Fax Number | 8604561738 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2675 | CT | Behavioral Health & Social Service Providers |
| X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
2675 | CT | Behavioral Health & Social Service Providers |
| Street Address |
207 STORRS RD |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851490403 | Deborah Lee Mcgeehan | Psychologist | 207 Storrs Rd, Mansfield Center, CT 06250-1638 | 2006-09-21 |
| 1902464829 | Mark Chuoke LLC | Community/Behavioral Health | 207 Storrs Rd, Mansfield Center, CT 06250-1638 | 2019-06-05 |
| 1366848616 | Mark Chuoke | Social Worker | 207 Storrs Rd, Mansfield Center, CT 06250-1638 | 2014-11-14 |
| 1093092215 | Tamara Vertefeuille, LLC | Social Worker | 207 Storrs Rd, Mansfield Center, CT 06250-1638 | 2011-11-16 |
| 1821379678 | David Henry, Ph.d. | Psychologist | 207 Storrs Rd, P.o. 740, Mansfield Center, CT 06250-1638 | 2011-09-07 |
| 1689773210 | Dean G Cruess | Psychologist | 207 Storrs Rd, Mansfield Center, CT 06250-1638 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| Find all providers in zip 06250 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376947937 | Nicholas Gelbar | Psychologist | 222 Warrenville Rd, Mansfield Center, CT 06250-1128 | 2014-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730912 | Chelsea Morgan | Psychologist | 300 George St Ste 900, New Haven, CT 06511-6660 | 2020-11-08 |
| 1073127270 | Whitney Buckley | Psychologist | 2505 Black Rock Tpke Ste 2, Fairfield, CT 06825-2408 | 2020-09-04 |
| 1194333823 | Brian Joseph Lussier | Psychologist | 15 Preston Rd, Terryville, CT 06786-4209 | 2020-07-20 |
| 1407403934 | Educational Advancement Associates | Psychologist | 15 Schoolhouse Lndg, East Granby, CT 06026-2601 | 2019-08-20 |
| 1053770982 | Lori Attanasio Woodring | Psychologist | 7 Sylvan Ln, Old Greenwich, CT 06870-2318 | 2016-02-20 |
| 1831562255 | Carlene Davidson | Psychologist | 300 Hebron Ave Ste 217, Glastonbury, CT 06033-2192 | 2015-11-06 |
| 1912387606 | Kathryn Hagen | Psychologist | 86 John St Apt C, New Britain, CT 06051-2762 | 2015-06-08 |
| 1710320049 | David Gallaway | Psychologist | 238 Ratlum Rd, New Hartford, CT 06057-2318 | 2013-04-17 |
| 1992056675 | New Connection Inc | Psychologist | 446 Blake St # 200a, New Haven, CT 06515-1286 | 2012-09-21 |
| 1649534215 | Sherin Sue Stahl | Psychologist | 7 Tucker Meadow Rd, Woodbridge, CT 06525-1943 | 2012-06-28 |
| Find all providers with the same taxonomy | ||||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
Please comment or provide details below to improve the information on DR. INGE-MARIE EIGSTI.
| 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.