INNER WISDOM PSYCHOTHERAPY (NPI# 1740648047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740648047 |
| Entity Type | Organization |
| Organization Name | INNER WISDOM PSYCHOTHERAPY |
| Practice Address |
122a Naubuc Ave Suite 210 Glastonbury CT 06033-4246 |
| Practice Telephone | 8602180948 |
| Mailing Telephone | 8602180948 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Authorized Official Name | PAMELA MULREADY (COUNSELOR) |
| Authorized Official Telephone | 8602180948 |
| Authorized Official Credential | LPC, LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
1928 | CT | Behavioral Health & Social Service Providers |
| Street Address |
122A NAUBUC AVE SUITE 210 |
| City | GLASTONBURY |
| State | CT |
| Zip Code | 06033-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164554648 | Mark Allen Frayne | Psychologist | 122a Naubuc Ave, 204, Glastonbury, CT 06033-4246 | 2007-03-11 |
| 1295182566 | Copper Beech Psychological Services | Community/Behavioral Health | 122a Naubuc Ave, Suite 214, Glastonbury, CT 06033-4246 | 2016-05-17 |
| 1063866192 | Stephanie A. Field | Psychologist | 122a Naubuc Ave, Suite 214, Glastonbury, CT 06033-4246 | 2016-04-14 |
| 1609218866 | Kelly O'connell-seagraves | Community/Behavioral Health | 122a Naubuc Ave, Suite 210, Glastonbury, CT 06033-4246 | 2013-07-29 |
| 1831441377 | Bright Side Counseling, LLC | Clinic/Center | 122a Naubuc Ave, Suite 210, Glastonbury, CT 06033-4246 | 2012-10-08 |
| 1801148507 | Private Counseling Associates LLC | Clinic/Center | 122a Naubuc Ave, Suite 210, Glastonbury, CT 06033-4246 | 2012-10-05 |
| 1023373248 | Pamela Mulready | Counselor | 122a Naubuc Ave, Glastonbury, CT 06033-4246 | 2012-07-13 |
| 1023372927 | Michael Steady | Counselor | 122a Naubuc Ave, Suite 210, Glastonbury, CT 06033-4246 | 2012-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074649 | Starling Physicians, PC | Durable Medical Equipment & Medical Supplies | 289 Western Blvd, Glastonbury, CT 06033 | 2017-06-28 |
| 1497284897 | D&l Eyecare | Optometrist | 33 Welles Street, Glastonbury, CT 06033 | 2017-06-08 |
| 1730626235 | Half Full Psychiatry LLC | Clinic/Center | 39 New London Tpke Ste 230f, Glastonbury, CT 06033 | 2017-01-23 |
| 1285000117 | Olga A Levkina | Physician Assistant | 2928 Main St Ste 101, Glastonbury, CT 06033 | 2015-08-14 |
| 1619350576 | Ryan Ilg Reichelt | Dentist | 131 New London Tpke Ste 211, Glastonbury, CT 06033 | 2015-07-09 |
| 1316320534 | Devon Banda | Orthopaedic Surgery | The Hand Center, 195 Eastern Blvd, # 200, Glastonbury, CT 06033 | 2015-07-07 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1780071878 | Richard T. Risinger | Dentist | 88 Citizens Drive, Glastonbury, CT 06033 | 2015-04-16 |
| 1639568751 | Carol Jane Gammell | Counselor | 140 Glastonbury Boulevard, Suite 30, Glastonbury, CT 06033 | 2015-01-13 |
| 1407262611 | Prashant Sinha | Dentist | 2874 Main Street, Glastonbury, CT 06033 | 2014-07-08 |
| Find all providers in zip 06033 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972111011 | Molly Carta | Counselor | 78 Eastern Blvd Ste 2, Glastonbury, CT 06033-4325 | 2020-07-15 |
| 1104474881 | Christina Vandeventer LLC | Counselor | 74 New London Tpke Ste 8, Glastonbury, CT 06033-4204 | 2019-08-27 |
| 1982260170 | Laminit Counseling Services LLC | Counselor | 313 New London Tpke, Glastonbury, CT 06033-2233 | 2019-05-14 |
| 1508376112 | Allison Tardif | Counselor | 122a Naubuc Ave Ste 105, Glastonbury, CT 06033-4246 | 2017-10-09 |
| 1962869818 | Annette M. Corey Lpc Llv | Counselor | 17 Woodbridge Rd, Glastonbury, CT 06033-2924 | 2016-01-23 |
| 1376911610 | Linoshka Cruz | Counselor | 92 Harris St, Glastonbury, CT 06033-1148 | 2015-09-03 |
| 1922474683 | Catherine Granato | Counselor | 124 Conestoga Way, Glastonbury, CT 06033-3362 | 2015-08-18 |
| 1881073195 | Brittney Stanley | Counselor | 122 Naubuc Ave Ste 104, Glastonbury, CT 06033 | 2015-05-20 |
| 1801152418 | Dorothy C Standish | Counselor | 30 C Hebron Ave, Glastonbury, CT 06033 | 2012-04-09 |
| 1912118142 | Stephanie L Switzer | Counselor | 200c Oak St, Glastonbury, CT 06033-2320 | 2007-05-28 |
| Find all providers in GLASTONBURY | ||||
| City | GLASTONBURY |
| Zip Code | 06033 |
Please comment or provide details below to improve the information on INNER WISDOM PSYCHOTHERAPY.
| 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.