ALLIETA ANDERSON (NPI# 1821483108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821483108 |
| Entity Type | Individual |
| Full Name | ALLIETA ANDERSON |
| Credential | LADC |
| Practice Address |
54 E Ramsdell St New Haven CT 06515-1140 |
| Mailing Address |
1 Long Wharf Dr Suite 321 New Haven CT 06511-5991 |
| Practice Telephone | 2033379943 |
| Practice Fax Number | 2033876533 |
| Mailing Telephone | 2037814600 |
| Mailing Fax Number | 2037814624 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2017-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1127 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008039745 | 05 | |
| CT | 008024427 | 05 | |
| CT | 008023170 | 05 | |
| CT | ANDERSON MEDICAID | 008058232 | 01 |
| Street Address |
54 E RAMSDELL ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-1140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134197684 | Susan Feldman | Social Worker | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2006-03-10 |
| 1417582669 | Kristen Hansen | Counselor | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2020-03-09 |
| 1194366542 | Adam Sarmiento | Counselor | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2019-10-07 |
| 1871003343 | Jacqueline A Russell | Social Worker | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-10-10 |
| 1639609142 | Shana A Warner | Counselor | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-06-16 |
| 1144769449 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1508305806 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1598204893 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1962941252 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1407395080 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
| Find all providers in zip 06515 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700417441 | Prosperity Counseling, LLC | Counselor | 1580 Chapel St, New Haven, CT 06511-4205 | 2020-01-31 |
| 1861050320 | Jewell Cody | Counselor | 171 Lexington Ave, New Haven, CT 06513-4425 | 2019-05-30 |
| 1255820486 | Myra J Best | Counselor | 137 Scranton St Fl 2, New Haven, CT 06511-5339 | 2018-05-03 |
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1548695703 | Rena M Owens | Counselor | 1823 Ella Grasso Blvd, New Haven, CT 06511-1603 | 2013-09-06 |
| 1396081980 | Leida Acevedo | Counselor | 570 Elm St, New Haven, CT 06511-4137 | 2012-12-31 |
| 1467708289 | Julia Anne Redman | Counselor | 68 Bradley St, New Haven, CT 06511 | 2012-07-30 |
| 1033402045 | Ethel Bethea | Counselor | 121 Rosette St, New Haven, CT 06519-2427 | 2011-05-24 |
| 1235456203 | Happy Family Clinical Services LLC | Counselor | 530 State Street, New Haven, CT 06511 | 2010-04-29 |
| 1841512100 | Barbara C Moore | Counselor | 1294 Chapel Street, New Haven, CT 06511 | 2010-02-26 |
| Find all providers in NEW HAVEN | ||||
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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.