BETHANIE STEPHENS (NPI# 1801446828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801446828 |
Entity Type | Individual |
Full Name | BETHANIE STEPHENS |
Credential | PSY.D. |
Practice Address |
50 Gaylord Farm Rd Wallingford CT 06492-2828 |
Mailing Address |
50 Gaylord Farm Rd Psychology Wallingford CT 06492-2828 |
Practice Telephone | 2032842742 |
Mailing Telephone | 2032842742 |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 3866 | CT | Behavioral Health & Social Service Providers |
Street Address |
50 GAYLORD FARM RD |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-2828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316112279 | Bozena Krystyna Malyszko | Internal Medicine | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2008-04-22 |
1932742004 | Emily S Williamson | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492 | 2019-10-22 |
1508426784 | Anthony R Rinaldi | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2899 | 2019-06-19 |
1376009027 | Stacey Ricca | Social Worker | 50 Gaylord Farm Rd, Wallingford, CT 06492-2899 | 2019-02-19 |
1982183422 | Hospitalist Medicine Physicians of Connecticut -tcg, LLC | Internal Medicine | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2018-08-07 |
1417459025 | Jennifer Robinson | Nurse Practitioner | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2018-02-28 |
1942714126 | Melissa Pinto | Social Worker | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2017-11-27 |
1194248609 | Ashley N Simone | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2017-07-18 |
1780122192 | Quest Diagnostics LLC | Clinical Medical Laboratory | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2017-02-06 |
1780047233 | Zaid Akram Hammoodi | Hospitalist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2016-04-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
Find all providers in zip 06492 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720042708 | Lisa M Holme | Clinical Neuropsychologist | 400 Gaylord Farms Road, Wallingford, CT 06492 | 2006-04-14 |
1932742004 | Emily S Williamson | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492 | 2019-10-22 |
1508426784 | Anthony R Rinaldi | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2899 | 2019-06-19 |
1194248609 | Ashley N Simone | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2017-07-18 |
1902348550 | Leslie A Burton | Clinical Neuropsychologist | Gaylord Farm Rd, Gaylord Hospital, Wallingford, CT 06492 | 2016-11-14 |
1336400498 | Kristen M. Wrocklage | Clinical Neuropsychologist | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2012-06-06 |
1417976697 | Denise Fogel | Clinical Neuropsychologist | 116 S Main St, The Carriage House, Wallingford, CT 06492-4226 | 2006-07-19 |
1013968452 | Richard Delaney | Clinical Neuropsychologist | Gaylord Farms Rd., Wallingford, CT 06492 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548761224 | Shumita Roy | Clinical Neuropsychologist | 18 N Main St Fl 2, West Hartford, CT 06107-1970 | 2018-02-27 |
1992216790 | Brisman Associates In Neuropsychology, Pllc | Clinical Neuropsychologist | 433 S Main St Ste 225, West Hartford, CT 06110-2812 | 2017-10-19 |
1083157556 | Eva Troyb | Clinical Neuropsychologist | 26 Hawks Lndg, Amston, CT 06231-1659 | 2016-11-30 |
1669824702 | Martin D Oliveira Psy D LLC | Clinical Neuropsychologist | 10 N Main St Ste 1, West Hartford, CT 06107-1968 | 2016-07-12 |
1497151245 | Connecticut Neuropsychological Associates, LLC | Clinical Neuropsychologist | 40 Connecticut Ave, Norwich, CT 06360-1502 | 2014-11-06 |
1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
1922424175 | Psych Solutions LLC | Clinical Neuropsychologist | 2795 Albany Ave, West Hartford, CT 06117-1804 | 2014-03-12 |
1194157313 | Ginger Mills | Clinical Neuropsychologist | 623 Newfield Ave, Stamford, CT 06905-3302 | 2013-07-30 |
1144561051 | Western Connecticut Behavioral Health | Clinical Neuropsychologist | 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 | 2013-03-04 |
1043569288 | David Porrino | Clinical Neuropsychologist | 85 Old Kings Hwy N Fl 2, Darien, CT 06820-4732 | 2012-09-04 |
Find all providers with the same taxonomy |
City | WALLINGFORD |
Zip Code | 06492 |
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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.