TERA L GAHLSDORF


Address: 780 Summer St, Stamford, CT 06901-1089
Phone: 2033881634

TERA L GAHLSDORF (NPI# 1831262179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831262179
Entity Type Individual
Full Name TERA L GAHLSDORF
Credential APRN
Practice Address 780 Summer St
Stamford
CT 06901-1089
Practice Telephone 2033881634
Enumeration Date 2006-11-16
Last Update Date 2009-06-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
075646 CT Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
003540 CT Physician Assistants & Advanced Practice Nursing Providers
N 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
003540 CT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 780 SUMMER ST
City STAMFORD
State CT
Zip Code 06901-1089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992196125 F.s. Dubois Center Community/Behavioral Health 780 Summer St, Stamford, CT 06901-1089 2015-02-10
1851735781 Fang Zhang Psychiatry & Neurology 780 Summer St, Stamford, CT 06901-1089 2013-04-22
1942574082 Optimus Health Care Clinic/Center 780 Summer St, Stamford, CT 06901-1089 2012-03-07
1629194469 Kenya N Townsend Social Worker 780 Summer St, Swcmhs Fs Dubois Center, Stamford, CT 06901-1089 2007-03-22

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1477857597 Vanessa L Love Counselor 76 Progress Drive #249d, Stamford, CT 06901 2011-01-04
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1750583399 Amanda W Pong Psychiatry & Neurology 50 Forest St, Apt 1421, Stamford, CT 06901 2007-06-05
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1356978688 Rachel Feit Nurse Practitioner 63 Pine Tree Dr, Stamford, CT 06906-1529 2020-03-25
1336627264 Margaret F Gorelick Nurse Practitioner Stamford Health, One Hospital Plaza, Stamford, CT 06902 2018-08-02
1265704357 Recovery and Health Source LLC Nurse Practitioner 143 Hoyt St, 4b, Stamford, CT 06905-5759 2012-02-03
1528337953 Charlene Winkelman Milkey Nurse Practitioner 143 Hoyt St Apt 4b, Stamford, CT 06905-5741 2011-12-13
1043793565 Princess Doris Dakpui Nurse Practitioner 141 Franklin St, Stamford, CT 06902-1014 2018-09-11
1629483656 Jennifer Corridon Nurse Practitioner 22 5th St, Stamford, CT 06905-5030 2014-06-28
1164857249 Kathleen M Stuart Nurse Practitioner 1 Hospital Plz, Stamford, CT 06902-3602 2013-09-09
1386084713 Nami Khwakhali Nurse Practitioner 1351 Washington Blvd, Stamford, CT 06902-2419 2013-06-29
1700062239 Marie T Thrasher Nurse Practitioner 666 Glenbrook Rd, Suite 2c, Stamford, CT 06906-1439 2008-01-15
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Competitor

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City STAMFORD
Zip Code 06901

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Dataset Information

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.

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