EDWINA RANGANATHAN (NPI# 1720121296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720121296 |
| Entity Type | Individual |
| Full Name | EDWINA RANGANATHAN |
| Credential | LADC |
| Practice Address |
1250 Silver St Middletown CT 06457-3946 |
| Practice Telephone | 8603460300 |
| Mailing Telephone | 8603460300 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
000267 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1250 SILVER ST |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518004951 | Joy Nicole Pendola | Marriage & Family Therapist | 1250 Silver St, Middletown, CT 06457-3946 | 2007-02-01 |
| 1013537760 | Nicole Marie Alexopoulos | Counselor | 1250 Silver St, Middletown, CT 06457-3946 | 2020-04-23 |
| 1447879051 | Lauren Elizabeth Galarneau | Counselor | 1250 Silver St, Middletown, CT 06457-3946 | 2020-04-14 |
| 1548891203 | Carolyn Camire | Social Worker | 1250 Silver St, Middletown, CT 06457-3946 | 2020-01-31 |
| 1982235164 | Christina Mccoy | Counselor | 1250 Silver St, Middletown, CT 06457-3946 | 2020-01-28 |
| 1457981870 | Sabrina Lucia Aliano | Social Worker | 1250 Silver St, Middletown, CT 06457-3946 | 2020-01-24 |
| 1275163966 | Kimaira Bernardini | Counselor | 1250 Silver St, Middletown, CT 06457-3946 | 2020-01-22 |
| 1285264382 | David John Delancey | Counselor | 1250 Silver St, Middletown, CT 06457-3946 | 2020-01-17 |
| 1265086102 | Emily Juliana Friedman | Nurse Practitioner | 1250 Silver St, Middletown, CT 06457-3946 | 2019-07-29 |
| 1770089963 | Thomas Laudadio | Social Worker | 1250 Silver St, Middletown, CT 06457-3946 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780832238 | Venkataraman Radhakrishnan | Psychiatry & Neurology | 117 Seward Ave, Suite 12 /16 Building 92, Middletown, NY 10940 | 2008-09-08 |
| 1861054744 | Savida Agency, Inc. | Psychiatry & Neurology | 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 | 2019-07-01 |
| 1336681329 | Pax Clinics | Psychiatry & Neurology | 4302 Roosevelt Blvd, Middletown, OH 45044 | 2016-11-08 |
| 1679637748 | Alec William Buchanan | Psychiatry & Neurology | 351 Silver Street, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1154583748 | Zinaida Boutaeva | Psychiatry & Neurology | 6232 Avalon Dr W, Orange, CT 06477-3679 | 2008-06-25 |
| 1144406802 | Shanthi Mogali | Psychiatry & Neurology | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2008-01-11 |
| 1669402343 | Jean Carl Jarda | Psychiatry & Neurology | 28-2 Shunpike Rd, Cromwell, CT 06416 | 2006-07-05 |
| 1336124676 | Yuencheng Han | Psychiatry & Neurology | 750 Straits Tpke, Middlebury, CT 06762-2833 | 2005-12-09 |
| 1831647957 | Straun Health & Wellness | Psychiatry & Neurology | 1224 Mill St, Bldg B, East Berlin, CT 06023-1159 | 2016-09-18 |
| 1528444346 | Marie-josee A. Lynch | Psychiatry & Neurology | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-08-04 |
| 1215367081 | Gengyun Wen | Psychiatry & Neurology | 189 Storrs Rd, Natchaug Hospital, Mansfield Center, CT 06250-1683 | 2013-11-15 |
| 1043560287 | Michael Kofi Adusei | Psychiatry & Neurology | 30 Shelburne Rd, Stamford Hospital, Stamford, CT 06902 | 2012-09-14 |
| 1023370186 | Maria Ghanbari Motlagh | Psychiatry & Neurology | 20 York St # T-209, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2012-06-13 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.