KIMBERLY O'CONNOR


Address: 530 Middlebury Rd, Suite 213b, Middlebury, CT 06762-2500
Phone: 2035185380

KIMBERLY O'CONNOR (NPI# 1699117994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699117994
Entity Type Individual
Full Name KIMBERLY O'CONNOR
Credential LMFT
Practice Address 530 Middlebury Rd
Suite 213b
Middlebury
CT 06762-2500
Mailing Address 7 Baldwin Rd
Newtown
CT 06470-2003
Practice Telephone 2035185380
Practice Fax Number 2034904242
Mailing Telephone 2035977927
Enumeration Date 2013-07-27
Last Update Date 2015-06-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 1615 CT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT MEDICAID ID-00804972 05

Other Providers KIMBERLY O'CONNOR

NPI Name Taxonomy Address Enumeration
1447561451 Kimberly A O'connor Social Worker 1133 Route 55, Ste 2, Lagrangeville, NY 12540-5051 2010-06-24
1730339557 Kimberly Marie O'connor Licensed Practical Nurse 2236 Chalmette Dr, Toledo, OH 43611-1660 2008-09-29
1669660098 Kimberly O'connor Skilled Nursing Facility 698 Johanne Pl Apt A, Colorado Springs, CO 80906-6425 2007-10-10
1720177041 Kimberly Ann O'connor Psychologist 8623 N Wayne Rd Ste 310, Westland, MI 48185-1137 2006-10-12
1942394465 Kimberly Rosaline O'connor Chiropractor 125 Jerusalem Ave, Hicksville, NY 11801-4905 2006-10-02
1437188828 Kimberly O'connor Speech-Language Pathologist 3430 Hwy 77, Suite B, Panama City, FL 32405-5024 2006-06-30
1114357936 Kimberly A O'connor Occupational Therapy Assistant 410 10th Ave W, Palmetto, FL 34221-5032 2013-11-14
1326254764 Kimberly M O'connor Pharmacist 4 Dana Ln, Berwick, ME 03901-2767 2007-05-15
1366587644 Kimberly M O'connor Counselor 21350 W 153rd St, Olathe, KS 66061-5413 2007-02-21

Office Location

Street Address 530 MIDDLEBURY RD
SUITE 213B
City MIDDLEBURY
State CT
Zip Code 06762-2500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508840067 Raymond Michael Rinaldi Dentist 530 Middlebury Rd, Middlebury, CT 06762-2500 2005-11-30
1780031690 Krista Tillotson Counselor 530 Middlebury Rd, Suite 213b, Middlebury, CT 06762-2500 2016-05-20
1649676297 Hop Brook Counseling Center, LLC Counselor 530 Middlebury Rd, Suite 213b, Middlebury, CT 06762-2500 2014-11-10
1740526672 Kelly Fortin Counselor 530 Middlebury Rd, Suite 213b, Middlebury, CT 06762-2500 2012-12-21
1306035266 Wilfred Brown, Md PC Specialist 530 Middlebury Rd, Suite 201a, Middlebury, CT 06762-2500 2007-10-17
1417053620 Wilfred Brown Specialist 530 Middlebury Rd, Suite 201a, Middlebury, CT 06762-2500 2006-09-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164895314 Naugatuck Valley Womens Health Specialists PC Obstetrics & Gynecology 686 Straits Turnpike, 2a, Middlebury, CT 06762 2015-11-10
1588047153 Princess Corset & Lingerie Shop II, LLC Durable Medical Equipment & Medical Supplies 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 2015-07-01
1437423985 Gretchen R. Cianciola Dental Hygienist 12 Nantucket Way, Middlebury, CT 06762 2012-03-01
1124395223 Tlc Homecare LLC Home Health 900 Straits Tpke Ste 205, Middlebury, CT 06762 2011-11-18
1588893952 Catherine Ann Accashian Occupational Therapist 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 2009-07-07
1013081819 Waltor M Phillips Psychologist 415 Middlebury Road, Middlebury, CT 06762 2006-11-20
1518922608 W Kenneth Miner Physician Assistant 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 2006-04-20
1952366072 John M Keggi Orthopaedic Surgery 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 2006-04-20
1568443125 Stanley J Foster IIi Plastic Surgery 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 2005-11-10
1932556602 Karissa Piedescalzo Social Worker 850 Straits Tpke Ste 201, Middlebury, CT 06762 2016-05-23
Find all providers in zip 06762

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720414279 Talitha Tramuta Marriage & Family Therapist 850 Straits Tpke Ste 201, Middlebury, CT 06762-2843 2013-09-16
1588831382 Anie Sklar Marriage & Family Therapist 47 Court St, Middlebury, VT 05753-1454 2008-05-12
1750354890 Donald L Munn Marriage & Family Therapist 106 E Berry St, Middlebury, IN 46540 2006-02-09
1649706516 Full Circle Counseling, LLC Marriage & Family Therapist 2030 Straits Tpke, Ste 2, Middlebury, CT 06762-1831 2017-05-11
1720481997 Augustine Counseling, LLC Marriage & Family Therapist 2030 Straits Tpke, Middlebury, CT 06762-1831 2014-10-02
1912238486 Smiths Consulting LLC Marriage & Family Therapist 2030 Straits Tpke, Middlebury, CT 06762-1831 2010-01-23
1558594788 Douglas Todd Marriage & Family Therapist 89 Main St, Middlebury, VT 05753-1459 2009-09-04
1770608010 T Lynn Krawczyk Marriage & Family Therapist 984 Southford Rd, Middlebury, CT 06762-3234 2007-03-19
1073637047 Cynthia Anne Lipeika Marriage & Family Therapist 984 Southford Rd, Middlebury, CT 06762-3234 2007-03-16
1871632562 Katherine Leigh Pomeroy Marriage & Family Therapist 2030 Straits Tpke, Ste 2, Middlebury, CT 06762-1831 2007-02-06
Find all providers in MIDDLEBURY

Competitor

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City MIDDLEBURY
Zip Code 06762

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Dataset Information

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.

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