PSYCHIATRIC TREATMENT & RESOURCE CENTER INC. (NPI# 1740587526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740587526 |
| Entity Type | Organization |
| Organization Name | PSYCHIATRIC TREATMENT & RESOURCE CENTER INC. |
| Practice Address |
647 Main St East Haven CT 06512-2032 |
| Mailing Address |
310 Main St East Haven CT 06512-2919 |
| Practice Telephone | 2036725956 |
| Practice Fax Number | 2034047126 |
| Mailing Telephone | 2036725956 |
| Mailing Fax Number | 2034047126 |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2016-10-05 |
| Authorized Official Name | MS. LINDA SUSAN GRISGRABER (APRN2035565225) |
| Authorized Official Telephone | 2035565225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
001868 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CLINICAL SPECIALIST PSYCH MENTAL HEALTH | 364SP0808X | 01 |
| Street Address |
647 MAIN ST |
| City | EAST HAVEN |
| State | CT |
| Zip Code | 06512-2032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760040489 | Caroline Grace Wajdowicz | Specialist/Technologist | 114 Eddon Drive, East Haven, CT 06512 | 2019-05-29 |
| 1194074070 | Albert Marshall D'onofrio | Dentist | 300 Hemingway Ave., East Haven, CT 06512 | 2012-09-06 |
| 1073654158 | Tom A Davies I | Pharmacist | 392 Hemingway Ave., East Haven, CT 06512 | 2007-02-09 |
| 1346326840 | Susanne E Davis | Counselor | 595 Thompson Avenue, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-10-27 |
| 1124111828 | Ronald R. Montano | Dentist | 310 Main Street, East Haven, CT 06512 | 2006-10-02 |
| 1518985183 | Town of East Haven East Haven Counseling and Community Services | Clinic/Center | 595 Thompson Ave, East Haven Counseling & Community Services, East Haven, CT 06512 | 2006-07-18 |
| 1386629020 | Michael J. Vandlik, Dmd&associates LLC | Dentist | 280 Main Street, East Haven, CT 06512 | 2005-12-14 |
| 1174507230 | Tarvinder Pal Singh Arora | Dentist | 300 Hemingway Ave, Ste #3, East Haven, CT 06512 | 2005-12-02 |
| 1457342651 | Whispering Pines Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 38 Talmadge Avenue, East Haven, CT 06512 | 2005-11-04 |
| 1407477417 | T & S Home Care Agency LLC | Home Health | 5 Chamberlain Pl, New Haven, CT 06512 | 2020-04-30 |
| Find all providers in zip 06512 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816956 | Angela Olivia Roberts, Aprn, LLC | Clinic/Center | 427 Naubuc Ave Ste 101, Glastonbury, CT 06033-1082 | 2020-06-24 |
| 1437708708 | Clean Rxeach LLC | Clinic/Center | 1506 Post Rd Ste 4, Fairfield, CT 06824-5916 | 2019-09-09 |
| 1447812250 | Camellia Place Healthcare Services LLC | Clinic/Center | 100 Market Sq Ste 12, Newington, CT 06111-2921 | 2019-07-01 |
| 1427616077 | Therigatha Center for Psychotherapy | Clinic/Center | 68 Bridge St Unit 301, Suffield, CT 06078-3108 | 2019-05-30 |
| 1942864145 | Cynthia Leavitt, LLC | Clinic/Center | 39 New London Tpke Ste 316, Glastonbury, CT 06033-2061 | 2019-04-24 |
| 1285108498 | Lana Lachance LLC | Clinic/Center | 346 Main St S Fl 2, Woodbury, CT 06798-3409 | 2019-01-22 |
| 1295215093 | Mindful Therapy Studio LLC | Clinic/Center | 16 Rae Palmer Road, Moodus, CT 06423 | 2018-08-21 |
| 1356831960 | Connecticut Counseling Centers Inc | Clinic/Center | 15 Commerce Rd Lowr 1, Stamford, CT 06902-4553 | 2018-05-18 |
| 1780189480 | Connecticut Counseling Centers, Inc. | Clinic/Center | 290 Pratt St Ste 2312, Meriden, CT 06450-8600 | 2018-03-26 |
| 1750807426 | The Connection Inc | Clinic/Center | 37 Garden St, Hartford, CT 06105-2129 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAVEN |
| Zip Code | 06512 |
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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.