DR. MARK SPELLMANN


Address: 119 Ball Pond Rd, New Fairfield, CT 06812-4536
Phone: 2035467276

DR. MARK SPELLMANN (NPI# 1710244017) 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) 1710244017
Entity Type Individual
Full Name DR. MARK SPELLMANN
Credential PHD
Practice Address 119 Ball Pond Rd
New Fairfield
CT 06812-4536
Practice Telephone 2035467276
Mailing Telephone 2035467276
Enumeration Date 2012-04-12
Last Update Date 2012-04-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
068120 NY Behavioral Health & Social Service Providers
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
3152 CT Behavioral Health & Social Service Providers

Office Location

Street Address 119 BALL POND RD
City NEW FAIRFIELD
State CT
Zip Code 06812-4536

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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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1043547763 Kim Marie O'donnell Psychologist 142 Elm St, Cheshire, CT 06410-2808 2009-11-17
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1043495310 Leonard Louis Wysocki Psychologist 49 Finley Hill Rd, Marlborough, CT 06447-1003 2008-01-07
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1235269721 Bina Roginsky Psychologist 21 Hazel Ter, Suite B, Woodbridge, CT 06525-2209 2007-03-06
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Competitor

Search similar providers

City NEW FAIRFIELD
Zip Code 06812

Improve Information

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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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