ADVANCED CONCUSSION SOLUTIONS LLC (NPI# 1750872289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750872289 |
| Entity Type | Organization |
| Organization Name | ADVANCED CONCUSSION SOLUTIONS LLC |
| Other Organization Name | ADVANCED CONCUSSION SOLUTIONS LLC |
| Practice Address |
181 Post Rd W Westport CT 06880-4626 |
| Practice Telephone | 2032936325 |
| Practice Fax Number | 2032861282 |
| Mailing Telephone | 2032936325 |
| Mailing Fax Number | 2032861282 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | DR. AUDREY PAUL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2032936325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 54943 | CT | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Advanced Concussion Solutions LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Advanced Concussion Solutions LLC | 25 Imperial Avenue, Westport, CT 06880 |
| Street Address |
181 POST RD W |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326102229 | Kathleen Wheeler | Psychologist | 181 Post Rd W, Westport, CT 06880-4626 | 2006-12-22 |
| 1871103143 | Cindy Lee James | Psychologist | 181 Post Rd W, Westport, CT 06880-4626 | 2020-08-03 |
| 1851827117 | Tracy A. Livecchi, Lcsw, LLC | Social Worker | 181 Post Rd W, Westport, CT 06880-4626 | 2017-05-05 |
| 1841696119 | Ann C Zimmerli | Psychologist | 181 Post Rd W, Westport, CT 06880-4626 | 2014-11-13 |
| 1720409220 | Diana E Miner, Ph.d, LLC | Clinical Neuropsychologist | 181 Post Rd W, Westport, CT 06880-4626 | 2013-12-31 |
| 1770925778 | Stacey Rosenkrantz Aronson | Clinical Neuropsychologist | 181 Post Rd W, Westport, CT 06880-4626 | 2013-07-19 |
| 1750642765 | Anthony James Silver | Marriage & Family Therapist | 181 Post Rd W, Westport, CT 06880-4626 | 2012-06-06 |
| 1376804948 | Jeffrey John Schutz | Marriage & Family Therapist | 181 Post Rd W, Westport, CT 06880-4626 | 2012-05-31 |
| 1003199985 | Corey G Toby | Social Worker | 181 Post Rd W, Westport, CT 06880-4626 | 2011-09-27 |
| 1396031738 | Diana E Miner | Clinical Neuropsychologist | 181 Post Rd W, Westport, CT 06880-4626 | 2011-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831705573 | Meredith Poster | Psychologist | 6 Rustic Lane, Westport, CT 06880 | 2020-09-18 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1013539030 | Risa Jill Werner | Social Worker | 12 Peaceful Lane, Westport, CT 06880 | 2020-05-13 |
| 1588226880 | Heather B Bauer | Nutritionist | 21 Bridge Sqaure, Westport, CT 06880 | 2019-07-08 |
| 1659938603 | Kevin Stimmel | Physical Therapist | 429 Post Rd E, Westport, CT 06880 | 2019-05-24 |
| 1093379307 | Jonathan David Geller | Social Worker | 166 Kings Highway North, Westport, CT 06880 | 2019-04-23 |
| 1942766480 | Shevonte M Johnson | Adult Companion | 100 Casals Apt 19a, Bronx, NY 06880 | 2019-02-20 |
| 1982175014 | Denese Marshall LLC | Counselor | 117 Post Road West, Westport, CT 06880 | 2018-12-16 |
| 1003398298 | Joan Frimmer | Social Worker | 138 Imperial Avenue, Westport, CT 06880 | 2018-09-04 |
| 1053891044 | Andree Palmgren | Counselor | 246 Post Rd East, 2nd Floor, Westport, CT 06880 | 2018-08-19 |
| Find all providers in zip 06880 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184030678 | Albert S. Beasley | Pediatrics | 9 Woods Grove Road, Westport, CT 06880 | 2014-07-07 |
| 1073924528 | Lauren Frances Allison | Pediatrics | 1563 Post Rd E, Westport, CT 06880-5602 | 2014-05-17 |
| 1295000511 | Abigail Southard Carey | Pediatrics | 26 Reichert Cir, Westport, CT 06880-2643 | 2012-03-20 |
| 1669688040 | Betsy Hausknecht Clachko | Pediatrics | 205 Wilton Rd, Westport, CT 06880-2336 | 2007-05-15 |
| 1629144886 | Peter S Czuczka | Pediatrics | 1563 Post Road East, Westport, CT 06880 | 2006-11-28 |
| 1699789255 | Audrey Zelicof Paul | Pediatrics | 1045 Post Rd E, Westport, CT 06880 | 2006-07-28 |
| 1013273390 | Nicholas Philip Matarazzo | Pediatrics | 156 Kings Hwy N, Westport, CT 06880-2440 | 2012-04-11 |
| 1487809901 | Village Pediatrics | Pediatrics | 156 Kings Hwy N, Westport, CT 06880-2440 | 2008-11-25 |
| 1538235791 | Jonathan E Sollinger | Pediatrics | 1563 Post Road East, Westport, CT 06880 | 2006-11-28 |
| 1437225695 | Janet C Woodward | Pediatrics | 1563 Post Road East, Westport, CT 06880 | 2006-11-28 |
| Find all providers in WESTPORT | ||||
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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.