GARDY THEODORE (NPI# 1740891183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740891183 |
| Entity Type | Individual |
| Full Name | GARDY THEODORE |
| Practice Address |
546 S Broad St Ste 2f Meriden CT 06450-6601 |
| Practice Telephone | 8669200769 |
| Mailing Telephone | 8669200769 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
546 S BROAD ST STE 2F |
| City | MERIDEN |
| State | CT |
| Zip Code | 06450-6601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861056525 | Oak Counseling Services LLC | Counselor | Oak Counseling Services, LLC, 97 East Main St. (suite 1h), Meriden, CT 06450 | 2019-04-29 |
| 1467969253 | Midstate Arc | Day Training, Developmentally Disabled Services | 200 Research Pkwy, Meriden, CT 06450 | 2018-01-03 |
| 1144674672 | Felistas Mazhandu | Nurse Practitioner | 53 Church Hill Chase, Meriden, CT 06450 | 2016-04-21 |
| 1639557390 | D J Park PC | Dentist | 490-19 South Broad Street, Meriden, CT 06450 | 2015-05-14 |
| 1912393844 | Elliott Lacki | Psychologist | 1355 N Broad St, Meriden, CT 06450 | 2015-04-07 |
| 1124379797 | Jamie Anne Gargano | Social Worker | 538 Preston Avenue, Meriden, CT 06450 | 2012-09-24 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1174888622 | Dong Jin Park | Dentist | 490 S Broad St, Meriden, CT 06450 | 2012-07-11 |
| 1710253182 | Adriana Laura Gonzalez | Psychologist | 85 Hillcrest Ter, Meriden, CT 06450 | 2012-03-29 |
| 1285864199 | Crystal Ann Herdman | Occupational Therapist | 33 Cone Avenue, Meriden, CT 06450 | 2009-07-27 |
| Find all providers in zip 06450 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457996829 | Krista Karch | Specialist/Technologist | 32 Stanford Hill Rd, Essex, CT 06426-1431 | 2019-11-09 |
| 1548223696 | James William Doran Jr. | Specialist/Technologist | 2095 Hillside Rd, Unit 3078, Storrs, CT 06269-3078 | 2006-04-10 |
| 1477512580 | Charles Francis Davis Jr. | Specialist/Technologist | 501 Crescent St, New Haven, CT 06515-1330 | 2006-03-20 |
| 1558409672 | Karin Kupperschmidt | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1790823821 | Patricia Macary | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-02-01 |
| 1851438485 | Jackie Bouchard | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2007-01-31 |
| 1295807063 | Sarah Macseain | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2006-11-15 |
| 1356434815 | Robyn Demarco | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network (5th Floor), Newington, CT 06111 | 2006-10-02 |
| 1720015043 | Erin Lewis | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-06-26 |
| 1639106958 | Julie Rosenblum | Specialist/Technologist | 181 Patricia Genova Drive, Eastern Rehabilitation Network 5th Floor, Newington, CT 06111 | 2006-06-26 |
| Find all providers with the same taxonomy | ||||
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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.