AMELIA D SHANNON (NPI# 1700353455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700353455 |
| Entity Type | Individual |
| Full Name | AMELIA D SHANNON |
| Credential | LPC |
| Practice Address |
239 Columbus Ave New Haven CT 06519-2230 |
| Mailing Address |
239 Columbus Ave New Haven CT 06519 |
| Practice Telephone | 2039100548 |
| Mailing Telephone | 2039100548 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
3602 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 3602 | 05 |
| Street Address |
239 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835452 | Olivia V Carney | Counselor | 355 Alden Ave Apt B, New Haven, CT 06515-2139 | 2019-01-25 |
| 1265928022 | Latreece M Mayes-santiago | Counselor | 107 Carmel St, New Haven, CT 06511-3103 | 2018-07-05 |
| 1164877312 | Patricia Marie Jenkins-simmons | Counselor | 54 William St, 1st Floor, New Haven, CT 06511-4939 | 2016-04-25 |
| 1467817064 | Juan Montalvo | Counselor | 645 Grand Ave, New Haven, CT 06511-5011 | 2015-12-23 |
| 1679938393 | New England Counseling & Advocacy Center | Counselor | 157 Church St, 19th Floor, New Haven, CT 06510-2100 | 2015-12-22 |
| 1669842043 | Happy Family Community Services | Counselor | 530 State St, New Haven, CT 06511-6503 | 2015-09-29 |
| 1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
| 1124269832 | Ziara Kurys | Counselor | 446 Blake St # 200, New Haven, CT 06515-1286 | 2009-03-11 |
| 1689819336 | Positive Services for Kids, LLC | Counselor | 1948 Chapel St, New Haven, CT 06515-2211 | 2008-12-10 |
| 1255583571 | Erika Ann Collins | Counselor | 58089 Main St, New Haven, MI 48048-2697 | 2008-10-17 |
| Find all providers in NEW HAVEN | ||||
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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.