DR. ELIZABETH RUEL MATERN (NPI# 1699979542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699979542 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH RUEL MATERN |
| Other Name | MS. ELIZABETH MARY RUEL |
| Credential | M.D. PSYCHIATRIST |
| Practice Address |
40 Dale Road Suite 201 Avon CT 06001 |
| Practice Telephone | 8606769350 |
| Practice Fax Number | 8606787178 |
| Mailing Telephone | 8606769350 |
| Mailing Fax Number | 8606787178 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2009-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 243816 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
048027 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
243816 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
243816 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FRI360647 | 01 |
| Street Address |
40 DALE ROAD SUITE 201 |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205913340 | Wendy F Habelow | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1962831545 | Meagan A Leduc | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2013-11-05 |
| 1881922326 | Jill D Shalan | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2009-11-20 |
| 1801065131 | Vicki J Strnatka Knapp | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2008-02-20 |
| 1669669982 | Dartmouth Endocrinology LLC | Internal Medicine | 40 Dale Road, Suite 202, Avon, CT 06001 | 2007-10-01 |
| 1932311453 | Bruce Eliot Komarow | Dentist | 40 Dale Road, Avon, CT 06001 | 2007-05-04 |
| 1649321258 | Ryan D. Hartmann | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2007-01-12 |
| 1073670881 | Kimberlee J. Werrett | Social Worker | 40 Dale Road, Suite 201, Avon, CT 06001 | 2007-01-02 |
| 1780761726 | Heather Quinlan | Social Worker | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1013094176 | Elizabeth S Thayer | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609262344 | Kim Thi Nguyen | Psychiatry & Neurology | 100 West Beaver Creek Blvd., Suite 208, Avon, CO 81620 | 2015-04-09 |
| 1205954781 | Joan Carol Bornstein | Psychiatry & Neurology | 40 Nottingham Road, Suite 203b, Avon, CO 81620-8300 | 2007-03-26 |
| 1154413920 | Richard Seth Goldberg | Psychiatry & Neurology | 46 West Avon Rd, Suite 203, Avon, CT 06001 | 2006-09-29 |
| 1225041973 | Gabra Sadik Gachaw | Psychiatry & Neurology | 6319 E Us Highway 36 Ste 50, Avon, IN 46123-6210 | 2006-08-14 |
| 1407803885 | Sue A Leuschke | Psychiatry & Neurology | 8103 E Us Highway 36, #224, Avon, IN 46123-7964 | 2006-05-30 |
| 1376591255 | Siming Chen Hummer | Psychiatry & Neurology | 1111 Ronald Reagan Pkwy Ste 1540, Avon, IN 46123-7085 | 2006-05-04 |
| 1477712917 | Harvest Healthcare LLC | Psychiatry & Neurology | 21 Waterville Rd, Avon, CT 06001-2097 | 2008-06-09 |
| 1225297690 | Vista Behavioral Health, LLC | Psychiatry & Neurology | 152 Simsbury Rd, Building 9 2nd Floor, Avon, CT 06001-3777 | 2008-06-02 |
| 1801815832 | Indiana University Health West Hospital, Inc | Psychiatry & Neurology | 1111 Ronald Reagan Pkwy, Building C, Avon, IN 46123-7085 | 2006-07-19 |
| 1083646566 | Alejandro Rangel | Psychiatry & Neurology | 21 Waterville Rd, Avon, CT 06001-2097 | 2006-07-07 |
| Find all providers in AVON | ||||
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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.