MEDITOX CARE, LLC (NPI# 1679135891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679135891 |
| Entity Type | Organization |
| Organization Name | MEDITOX CARE, LLC |
| Practice Address |
53 Riverside Ave Westport CT 06880-4215 |
| Mailing Address |
19 Ellis Rd East Haven CT 06512-4627 |
| Practice Telephone | 2038873890 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | MOHAMED ELSAMRA (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2038873890 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDITOX CARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811525298 | Meditox Care, LLC | Nurse Practitioner | 53 Riverside Ave, Westport, CT 06880-4215 | 2020-03-31 |
| 1730623737 | Meditox Care, LLC | Psychiatry & Neurology | 53 Riverside Ave, Westport, CT 06880-4215 | 2016-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MEDITOX CARE, LLC | 19 Ellis Rd, East Haven, CT 06512 |
| Street Address |
53 RIVERSIDE AVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457464406 | Mohamed Elsamra | Psychiatry & Neurology | 53 Riverside Ave, Westport, CT 06880-4215 | 2006-08-16 |
| 1255944245 | Meditoxcare LLC | Social Worker | 53 Riverside Ave, Westport, CT 06880-4215 | 2020-08-28 |
| 1275162026 | Meditoxcare LLC | Marriage & Family Therapist | 53 Riverside Ave, Westport, CT 06880-4215 | 2020-04-03 |
| 1811525298 | Meditox Care, LLC | Nurse Practitioner | 53 Riverside Ave, Westport, CT 06880-4215 | 2020-03-31 |
| 1730623737 | Meditox Care, LLC | Psychiatry & Neurology | 53 Riverside Ave, Westport, CT 06880-4215 | 2016-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705573 | Meredith Poster | Psychologist | 6 Rustic Lane, Westport, CT 06880 | 2020-09-18 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1013539030 | Risa Jill Werner | Social Worker | 12 Peaceful Lane, Westport, CT 06880 | 2020-05-13 |
| 1588226880 | Heather B Bauer | Nutritionist | 21 Bridge Sqaure, Westport, CT 06880 | 2019-07-08 |
| 1659938603 | Kevin Stimmel | Physical Therapist | 429 Post Rd E, Westport, CT 06880 | 2019-05-24 |
| 1093379307 | Jonathan David Geller | Social Worker | 166 Kings Highway North, Westport, CT 06880 | 2019-04-23 |
| 1942766480 | Shevonte M Johnson | Adult Companion | 100 Casals Apt 19a, Bronx, NY 06880 | 2019-02-20 |
| 1982175014 | Denese Marshall LLC | Counselor | 117 Post Road West, Westport, CT 06880 | 2018-12-16 |
| 1003398298 | Joan Frimmer | Social Worker | 138 Imperial Avenue, Westport, CT 06880 | 2018-09-04 |
| 1053891044 | Andree Palmgren | Counselor | 246 Post Rd East, 2nd Floor, Westport, CT 06880 | 2018-08-19 |
| Find all providers in zip 06880 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175014 | Denese Marshall LLC | Counselor | 117 Post Road West, Westport, CT 06880 | 2018-12-16 |
| 1053891044 | Andree Palmgren | Counselor | 246 Post Rd East, 2nd Floor, Westport, CT 06880 | 2018-08-19 |
| 1245742998 | Lindsay Boudreau Counseling LLC | Counselor | 431 Post Rd E Ste 14, Westport, CT 06880-4403 | 2017-11-02 |
| 1326567702 | Lindsay Boudreau | Counselor | 2 Pin Oak Ct, Westport, CT 06880-1022 | 2017-09-17 |
| 1346777265 | Dw Behavioral Health, LLC | Counselor | 1465 Pst Road East, 205, Westport, CT 06880 | 2017-05-23 |
| 1881130631 | Inger Sjogren | Counselor | 225 Main St Ste 203, Westport, CT 06880-3216 | 2017-01-17 |
| 1831550045 | Thomas David Brown | Counselor | 3 Country Ln, Westport, CT 06880-2521 | 2016-03-15 |
| 1912324773 | Elizabeth M. Madden | Counselor | 1465 Post Road East, Westport, CT 06880 | 2014-03-18 |
| 1235385949 | Beverly Gershon Isenberg | Counselor | 132 Old Rd, Westport, CT 06880-4150 | 2008-08-13 |
| 1265579940 | Vincent J. Benevento Jr. | Counselor | 1720 Post Rd E, Suite 123, Westport, CT 06880-5643 | 2007-01-31 |
| Find all providers in WESTPORT | ||||
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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.