YASMIN PEREZ-MADDELENA (NPI# 1689885667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689885667 |
| Entity Type | Individual |
| Full Name | YASMIN PEREZ-MADDELENA |
| Other Name | YASMIN PEREZ |
| Credential | LPC |
| Practice Address |
1046 Fairfield Ave 1046 Fairfield Ave Bridgeport CT 06605-1116 |
| Mailing Address |
968 Fairfield Ave Bridgeport CT 06605-1116 |
| Practice Telephone | 2033306054 |
| Practice Fax Number | 2033314716 |
| Mailing Telephone | 2033323556 |
| Mailing Fax Number | 2033821468 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002430 | CT | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 002430 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1046 FAIRFIELD AVE 1046 FAIRFIELD AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932319555 | Robert Skane | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2007-05-23 |
| 1306459094 | Andrea Cristina Rivadeneira | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2020-08-24 |
| 1649814351 | Martha Catherina Velasco | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-11-06 |
| 1952945727 | Mara E Richardson | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-11-04 |
| 1023675873 | South- West Community Health Center, Inc | Clinic/Center | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-05-28 |
| 1043797020 | Tara Concetta O'neil | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2018-07-23 |
| 1639684111 | Julienne Gousse | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-12-06 |
| 1366951758 | Miranda Leah Demirjian | Social Worker | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2017-09-28 |
| 1407307119 | Southwest Community Health Center | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605 | 2016-10-18 |
| 1316351521 | Richard Dunn | Counselor | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2014-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568006526 | Wendy Jones | Counselor | 297 Bradley St, Bridgeport, CT 06610-1911 | 2019-11-03 |
| 1881242485 | Jared Maggi | Counselor | 3250 Fairfield Ave Apt 212, Bridgeport, CT 06605-3271 | 2019-08-28 |
| 1396202289 | Joseph A Graziano Jr. | Counselor | 174 University Ave, Bridgeport, CT 06604-5728 | 2019-02-27 |
| 1780130674 | Gary Vertula | Counselor | 260 Robin St, Bridgeport, CT 06606-4440 | 2016-08-30 |
| 1275983512 | Janelle Titus | Counselor | 142 Wade St, Bridgeport, CT 06604-1817 | 2016-06-17 |
| 1558717181 | Catherine Mcauliffe | Counselor | 1000 Lafayette Blvd Fl 11, Bridgeport, CT 06604-4725 | 2016-05-12 |
| 1326408485 | Elisabeth Parker | Counselor | 1150 Fairfield Ave, Bridgeport, CT 06605-1118 | 2016-03-02 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1609292648 | Margaret Creeth | Counselor | 475 Clinton Avenue, Fsw Inc, Bridgeport, CT 06605-1700 | 2014-03-14 |
| 1548682560 | Rebecca Fiest | Counselor | 175 Ridgeway Dr, Bridgeport, WV 26330-1176 | 2014-01-10 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
Please comment or provide details below to improve the information on YASMIN PEREZ-MADDELENA.
| 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.