DR. MARJI VITALE (NPI# 1700104999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700104999 |
| Entity Type | Individual |
| Full Name | DR. MARJI VITALE |
| Credential | PSY.D. |
| Practice Address |
1038 Farmington Ave West Hartford CT 06107-2109 |
| Mailing Address |
1022 Farmington Ave West Hartford CT 06107-2105 |
| Practice Telephone | 8603131119 |
| Mailing Telephone | 8605218035 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2010-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
002529 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1038 FARMINGTON AVE |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194980508 | April Jean Zadrozny | Marriage & Family Therapist | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2008-07-24 |
| 1487008066 | Martin Smith | Marriage & Family Therapist | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2016-04-20 |
| 1831573120 | Kate Keefe | Social Worker | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2015-07-16 |
| 1235561010 | The Bridge Family Center | Clinic/Center | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2013-08-05 |
| 1457797326 | The Bridge Family Center | Clinic/Center | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2013-05-17 |
| 1174886204 | Jennifer Charbonnier | Marriage & Family Therapist | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2012-06-22 |
| 1528334158 | Regan Lisa Stein | Marriage & Family Therapist | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2012-03-28 |
| 1609141753 | Stephen P. Projansky | Counselor | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2012-03-21 |
| 1205119104 | Rohan Brown | Counselor | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2011-09-27 |
| 1780974493 | The Bridge Family Center, Inc | Community/Behavioral Health | 1038 Farmington Ave, West Hartford, CT 06107-2109 | 2011-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376004481 | Frank J Stoll, Ph.d., LLC | Psychologist | 18 N Main St Fl 3, West Hartford, CT 06107-1970 | 2019-03-29 |
| 1053804575 | Daniel James Martin | Psychologist | 19 Linwold Dr, West Hartford, CT 06107-1237 | 2018-06-09 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1669856555 | Noah Joseph Bluestone | Psychologist | 68 Soutth Main St, Suite 202, West Hartford, CT 06117 | 2015-07-10 |
| 1417200825 | Nicole Reilly Hill | Psychologist | 998 Farmington Ave Ste 109, West Hartford, CT 06107-2184 | 2012-10-23 |
| 1437454717 | Jacqueline Guajardo | Psychologist | 73 Foxridge Rd, West Hartford, CT 06107-3625 | 2011-01-19 |
| 1205140803 | Jason Alan Gockel | Psychologist | 41 S Main St Ste 7, West Hartford, CT 06107-2448 | 2010-08-06 |
| 1225341696 | Ira Potashner | Psychologist | 61 S Main St Ste 209, West Hartford, CT 06107-2403 | 2010-07-14 |
| 1730391830 | Jessica A Mitchell-corsino | Psychologist | 45 S Main St Ste 303, West Hartford, CT 06107-2402 | 2007-05-03 |
| 1457579583 | Kathy A Mccloskey | Psychologist | 200 Bloomfield Avenue, University of Hartford, West Hartford, CT 06117 | 2007-04-23 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on DR. MARJI VITALE.
| 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.