MEDITOX CARE, LLC (NPI# 1811525298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811525298 |
| Entity Type | Organization |
| Organization Name | MEDITOX CARE, LLC |
| Practice Address |
53 Riverside Ave Westport CT 06880-4215 |
| Mailing Address |
19 Ellis Rd East Haven CT 06512-4627 |
| Practice Telephone | 2033472484 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | MOHAMED ELSAMRA (OWNER) |
| Authorized Official Telephone | 2038873890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679135891 | Meditox Care, LLC | Counselor | 53 Riverside Ave, Westport, CT 06880-4215 | 2019-07-09 |
| 1730623737 | Meditox Care, LLC | Psychiatry & Neurology | 53 Riverside Ave, Westport, CT 06880-4215 | 2016-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MEDITOX CARE, LLC | 19 Ellis Rd, East Haven, CT 06512 |
| Street Address |
53 RIVERSIDE AVE |
| City | WESTPORT |
| State | CT |
| Zip Code | 06880-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457464406 | Mohamed Elsamra | Psychiatry & Neurology | 53 Riverside Ave, Westport, CT 06880-4215 | 2006-08-16 |
| 1255944245 | Meditoxcare LLC | Social Worker | 53 Riverside Ave, Westport, CT 06880-4215 | 2020-08-28 |
| 1275162026 | Meditoxcare LLC | Marriage & Family Therapist | 53 Riverside Ave, Westport, CT 06880-4215 | 2020-04-03 |
| 1679135891 | Meditox Care, LLC | Counselor | 53 Riverside Ave, Westport, CT 06880-4215 | 2019-07-09 |
| 1730623737 | Meditox Care, LLC | Psychiatry & Neurology | 53 Riverside Ave, Westport, CT 06880-4215 | 2016-12-09 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538255880 | Martha Boulton | Nurse Practitioner | 468 Post Rd E, Westport, CT 06880-4441 | 2006-10-05 |
| 1790330751 | Be Well Mental Health Services, LLC | Nurse Practitioner | 840 Post Rd E, Westport, CT 06880-5236 | 2019-08-07 |
| 1083081665 | Hope Lamberson | Nurse Practitioner | 215 Main St, Westport, CT 06880-3210 | 2015-08-30 |
| 1659555449 | Carol Kamhi | Nurse Practitioner | 468 Post Rd E, Westport, CT 06880-4441 | 2007-12-28 |
| 1780895672 | Adrienne L. Nash | Nurse Practitioner | 215 Main St, Westport, CT 06880-3210 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| 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.