KARLENE CHISHOLM (NPI# 1700825650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700825650 |
| Entity Type | Individual |
| Full Name | KARLENE CHISHOLM |
| Credential | LMFT |
| Practice Address |
4 Armstrong Rd Shelton CT 06484 |
| Mailing Address |
4 Armstrong Rd Shelton CT 06484-4721 |
| Practice Telephone | 2039257727 |
| Practice Fax Number | 2039257727 |
| Mailing Telephone | 2039257727 |
| Mailing Fax Number | 2039257727 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2018-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 001119 | CT | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4 Armstrong Rd, Shelton, CT 064844721 | 2039257727 | 2039257727 |
| Street Address |
4 ARMSTRONG RD |
| City | SHELTON |
| State | CT |
| Zip Code | 06484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199475 | Ryan Pegolo | Chiropractor | 4 Armstrong Rd, Shelton, CT 06484-4721 | 2020-06-18 |
| 1023655693 | David James Gassner | Massage Therapist | 4 Armstrong Rd, Shelton, CT 06484-4721 | 2019-12-03 |
| 1447815253 | Shelton Sports & Spine, PC | Chiropractor | 4 Armstrong Rd, Shelton, CT 06484-4721 | 2019-05-07 |
| 1447552286 | Medical Anesthesiology Associates P.c | General Acute Care Hospital | 4 Armstrong Rd, Shelton, CT 06484-4721 | 2010-11-30 |
| 1720309560 | Ronan James Armada | Nurse Anesthetist, Certified Registered | 4 Armstrong Rd, Shelton, CT 06484 | 2010-06-16 |
| 1376699520 | Karen Gail Anonsen | Nurse Anesthetist, Certified Registered | 4 Armstrong Rd, Shelton, CT 06484-4721 | 2007-01-27 |
| 1215016795 | Gloria Bienkowski | Nurse Anesthetist, Certified Registered | 4 Armstrong Rd, Shelton, CT 06484-4721 | 2006-11-03 |
| 1780789248 | Mary Tuman | Anesthesiology | 4 Armstrong Rd, Shelton, CT 06484-4721 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861741050 | Marcel W Slowly | Marriage & Family Therapist | 819 River Rd, Shelton, CT 06484-5432 | 2012-09-04 |
| 1174778385 | Susan Jean Mcgowan | Marriage & Family Therapist | 483 Pumpkin Hill Rd, Shelton, CT 06484-3852 | 2008-12-02 |
| 1598964363 | Pamela Jean Newman | Marriage & Family Therapist | 2142 Railraod Ave, Shelton, WA 98584 | 2007-07-12 |
| 1679784557 | Arthur Marc Taylor | Marriage & Family Therapist | 101 Grey Wolf Lane, Shelton, WA 98584 | 2007-05-24 |
| 1124249263 | Cathay Irene Webb | Marriage & Family Therapist | 2142 Railroad Ave, Shelton, WA 98584 | 2007-05-02 |
| 1538286422 | Arne Bernhard Solli | Marriage & Family Therapist | 579 Howe Ave, Shelton, CT 06484-3157 | 2007-03-23 |
| 1265534259 | Keri Ann Loper | Marriage & Family Therapist | 280 Waverly Rd, Shelton, CT 06484-3629 | 2006-09-01 |
| 1033222492 | Edward C. Keane | Marriage & Family Therapist | 8 Huntington St, Suite 200, Shelton, CT 06484-5212 | 2006-08-17 |
| 1144258682 | Victor L Pittman | Marriage & Family Therapist | 30 Controls Dr, Shelton, CT 06484-6157 | 2006-06-30 |
| 1598234908 | Norman R Schain | Marriage & Family Therapist | 330 Bridgeport Ave, Shelton, CT 06484-3861 | 2018-11-14 |
| Find all providers in SHELTON | ||||
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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.