MR. JUAN CARLOS CORDERO (NPI# 1831506476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831506476 |
| Entity Type | Individual |
| Full Name | MR. JUAN CARLOS CORDERO |
| Other Name | MR. JUAN CARLOS CORDERO |
| Credential | M.S., M.A., PSY.D |
| Practice Address |
433 Valley St Willimantic CT 06226-1901 |
| Mailing Address |
2 Waterside Xing Ste 401 Windsor CT 06095-1587 |
| Practice Telephone | 8604567200 |
| Mailing Telephone | 8606973351 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
002740 | PR | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
002740 | PR | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 175 Hawthorne Dr Apt 23a, New London, CT 063204020 | 7874093749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740224245 | Juan Cordero | Internal Medicine | 505 Dutchmans Ln Ste A3, Easton, MD 21601-4302 | 2006-06-15 |
| 1669474151 | Juan A Cordero Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Goethals Dr, 3rd Floor, Richland, WA 99352-3304 | 2005-08-15 |
| Street Address |
433 VALLEY ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235161084 | Olga Selikhov | Nurse Practitioner | 433 Valley St, Willimantic, CT 06226-1901 | 2006-07-06 |
| 1235737065 | Tyler C Beckwith | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-10-14 |
| 1437762192 | Priscilla P Leon | Social Worker | 433 Valley St, Willimantic, CT 06226-1901 | 2020-08-24 |
| 1962042374 | Maria Torres | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2020-01-14 |
| 1053959692 | Alana B Mendelsohn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-12-13 |
| 1528624525 | Tiffany Kennedy | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-05-15 |
| 1891359501 | Raelene Asselin | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-29 |
| 1942762372 | Kristin Dunn | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-04-04 |
| 1679037592 | Nicole Forrest | Counselor | 433 Valley St, Willimantic, CT 06226-1901 | 2019-01-24 |
| 1942796230 | John Tutu | Counselor | 433 Valley St, Willimantic, CT 06226 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1679578686 | Ronald Douglas Anderson | Psychologist | 21 Church St, Willimantic, CT 06226-2644 | 2005-06-16 |
| 1215141437 | Kathryn Sanders Connolly | Psychologist | 1320 Main St, Willimantic, CT 06226-1940 | 2007-05-09 |
| 1427122258 | Ruth E. Marcial | Psychologist | 132 Mansfield Ave, United Services, Inc., Willimantic, CT 06226-2027 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
Please comment or provide details below to improve the information on MR. JUAN CARLOS CORDERO.
| 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.