PROGRESSIVE INSTITUTE LLC (NPI# 1669944724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669944724 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE INSTITUTE LLC |
| Practice Address |
2 Trap Falls Rd Ste 120 Shelton CT 06484-4616 |
| Practice Telephone | 2038166424 |
| Practice Fax Number | 6305220843 |
| Mailing Telephone | 2038166424 |
| Mailing Fax Number | 2035138474 |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | GREG GILLAM (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 2038166424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
2 TRAP FALLS RD STE 120 |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-4616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477515823 | Kerry Lassen | Social Worker | 2 Trap Falls Rd Ste 120, Shelton, CT 06484 | 2006-04-03 |
| 1023615614 | Kelly Dougherty | Social Worker | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-7621 | 2020-10-06 |
| 1730715004 | Alison Glass | Social Worker | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-7621 | 2020-03-19 |
| 1265079669 | Jessica Berard | Counselor | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-7621 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1952437824 | Educational Service District 113 | Clinic/Center | 807 W Pine St, Shelton, WA 98584-2562 | 2007-02-26 |
| 1912112244 | Squaxin Island Chemical Dependency Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-11 |
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| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| 1053501684 | Helping Hand Center Inc. | Clinic/Center | 1124 Iranistan Avenue, Helping Hand Center, Bridgeport, CT 06605-1121 | 2007-07-30 |
| 1073679445 | Apt Foundation, Inc | Clinic/Center | 352 State St, North Haven, CT 06473-3108 | 2006-12-29 |
| 1265449359 | Connecticut Renaissance, Inc | Clinic/Center | 4 Byington Pl, Norwalk, CT 06850-3309 | 2006-08-02 |
| 1700384856 | Tricircle, Inc. | Clinic/Center | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-01-24 |
| 1770097867 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-28 |
| 1508305806 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1598204893 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1982155859 | Apt Foundation Inc. | Clinic/Center | 184 Front Ave, West Haven, CT 06516-2836 | 2016-10-17 |
| 1801241880 | Arc In Home Addiction Treatment, P.C. | Clinic/Center | 556 Washington Ave, Suite 201, North Haven, CT 06473-1149 | 2016-04-27 |
| 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.