NAZA BUNGU (NPI# 1770881815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770881815 |
Entity Type | Individual |
Full Name | NAZA BUNGU |
Credential | LPC, LADC |
Practice Address |
840 Boston Post Rd Ste 5 West Haven CT 06516-1848 |
Practice Telephone | 2038489350 |
Mailing Telephone | 2038489350 |
Enumeration Date | 2011-03-13 |
Last Update Date | 2020-06-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1186 | CT | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
2029 | CT | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 008045424 | 05 |
Street Address |
840 BOSTON POST RD STE 5 |
City | WEST HAVEN |
State | CT |
Zip Code | 06516-1848 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
Find all providers in zip 06516 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073168993 | Living Through Change LLC | Counselor | 727 Campbell Ave, West Haven, CT 06516-3762 | 2019-08-07 |
1336616085 | Alba Giselle Pabon | Counselor | 144 East Ave, West Haven, CT 06516-6014 | 2018-10-31 |
1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
1790221216 | Michele Maggiore | Counselor | 81 Honey Pot Rd, West Haven, CT 06516-6618 | 2017-01-07 |
1497112908 | Morgan Elizabeth Schell | Counselor | 17 Woodmont Rd, West Haven, CT 06516-6934 | 2016-01-28 |
1952433591 | Cara M Powers | Counselor | 417 Campbell Ave Ste 2, West Haven, CT 06516-5000 | 2007-03-09 |
1386730042 | Handan Gunduz-bruce | Counselor | Vha Connecticut, 116-a, Psychiatry Service, West Haven, CT 06516 | 2006-10-04 |
1730739293 | Emajae Ricketts | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2019-09-17 |
1083276414 | Inspired Healing Services, LLC | Counselor | 603 Savin Ave, West Haven, CT 06516-4961 | 2019-07-05 |
1447714753 | Jessica Mikita | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2019-01-31 |
Find all providers in WEST HAVEN |
City | WEST HAVEN |
Zip Code | 06516 |
Please comment or provide details below to improve the information on NAZA BUNGU.
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.