COASTAL BEHAVIORAL HEALTH (NPI# 1750305231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750305231 |
| Entity Type | Organization |
| Organization Name | COASTAL BEHAVIORAL HEALTH |
| Practice Address |
567 Vauxhall Street Ext Suite 118 Waterford CT 06385-4330 |
| Practice Telephone | 8604440503 |
| Practice Fax Number | 8604440504 |
| Mailing Telephone | 8604440503 |
| Mailing Fax Number | 8604440504 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-08-20 |
| Authorized Official Name | DR. MARTIN JUDE MALONEY (OWNER) |
| Authorized Official Telephone | 8604440503 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COASTAL BEHAVIORAL HEALTHCARE, INC. | 1565 State St, Sarasota, FL 34236-5808 |
| Street Address |
567 VAUXHALL STREET EXT SUITE 118 |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-4330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568404820 | Advanced Options, LLC | Social Worker | 567 Vauxhall Street Ext, Suite 314, Waterford, CT 06385-4330 | 2006-06-12 |
| 1780206425 | Jeanette Ann Kenney | Counselor | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2020-05-16 |
| 1861850356 | Heather Hoagland | Social Worker | 567 Vauxhall Street Ext, Suite 207, Waterford, CT 06385-4330 | 2016-01-29 |
| 1225426059 | Cyndia Shook | Social Worker | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2015-01-01 |
| 1619303047 | Edda Mcmanus Lcsw LLC | Social Worker | 567 Vauxhall Street Ext, Suite 314, Waterford, CT 06385-4330 | 2013-09-17 |
| 1043580137 | Katie Worley | Marriage & Family Therapist | 567 Vauxhall Street Ext, Suite #207, Waterford, CT 06385-4330 | 2012-01-05 |
| 1871829804 | Edda H Mcmanus | Social Worker | 567 Vauxhall Street Ext, Ste 314, Waterford, CT 06385-4330 | 2009-10-27 |
| 1760645238 | Deborah A Morgan | Counselor | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2008-07-05 |
| 1316107543 | Optometric Associates,p.c | Optometrist | 567 Vauxhall Street Ext, Waterford, CT 06385-4330 | 2008-06-11 |
| 1053597732 | Samuel Schaperow | Marriage & Family Therapist | 567 Vauxhall Street Ext, Suite 207, Waterford, CT 06385-4330 | 2008-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598198038 | 567 Vauxhall, LLC | Psychiatry & Neurology | 567 Vauxhall Street Ext Ste 126, Waterford, CT 06385-4332 | 2013-08-20 |
| 1861980609 | Oakland Health Associates of Waterford and Clarkston | Psychiatry & Neurology | 4576 W Walton Blvd, Waterford, MI 48329-4905 | 2018-04-26 |
| 1205028214 | Daniel Edmond Bendor | Psychiatry & Neurology | 567 Vauxhall Street Ext, Suite 326, Waterford, CT 06385-4330 | 2007-08-14 |
| 1821205741 | Marisol C Timtiman | Psychiatry & Neurology | 279 Summit Dr, Waterford, MI 48328-3364 | 2007-05-17 |
| 1275665564 | Edward William Coss Jr. | Psychiatry & Neurology | 196 Parkway S, Suite 201, Waterford, CT 06385-1234 | 2007-03-12 |
| 1225102247 | David London | Psychiatry & Neurology | 567 Vauxhall Street Extension, Suite 218, Waterford, CT 06385 | 2006-11-20 |
| 1023053089 | Dosyng Yoon | Psychiatry & Neurology | 279 Summit Dr, Waterford, MI 48328-3364 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859709 | Andre Burey Md Pllc | Psychiatry & Neurology | 1051 Post Rd Ste 1, Darien, CT 06820-5436 | 2020-07-30 |
| 1245848670 | Behavioral Wellness Partners | Psychiatry & Neurology | 167 Cherry St #101, Milford, CT 06460-3466 | 2020-07-22 |
| 1659905313 | Restart Health and Wellness LLC | Psychiatry & Neurology | 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 | 2020-03-02 |
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1063996221 | Alexia Bajwa Cortella | Psychiatry & Neurology | 5 Wedgewood Ct, Newtown, CT 06470-1792 | 2018-09-23 |
| 1427536101 | Mar Y Sol Mental Health Experts LLC | Psychiatry & Neurology | 50 Federal Rd Ste 1a, Danbury, CT 06810-6129 | 2018-08-03 |
| 1619470655 | Becky Kreuzer Aprn, Pmhnp, LLC | Psychiatry & Neurology | 22 Pine St Ste 205, Bristol, CT 06010-6949 | 2018-03-15 |
| 1982104063 | Carl Chi | Psychiatry & Neurology | 22 Goodrich Ln, Portland, CT 06480-1063 | 2018-02-15 |
| 1659808699 | Psy-visions of Connecticut, LLC | Psychiatry & Neurology | 88 Main St S Ste B201, Southbury, CT 06488-2276 | 2017-05-22 |
| 1639605082 | Neil Michael Kurtz | Psychiatry & Neurology | 165 Old Redding Road, Weston, CT 06883 | 2017-05-04 |
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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.