STALTARO PSYCHOLOGICAL SERVICES LLC (NPI# 1841522216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841522216 |
| Entity Type | Organization |
| Organization Name | STALTARO PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
96 Connecticut Blvd East Hartford CT 06108-3013 |
| Practice Telephone | 8605024908 |
| Practice Fax Number | 8605134828 |
| Mailing Telephone | 8605024908 |
| Mailing Fax Number | 8605134828 |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2012-03-19 |
| Authorized Official Name | DR. PERRY A STALTARO (PRESIDENT) |
| Authorized Official Telephone | 8605024908 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
1998 | CT | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
4525 | CT | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 2734 | CT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2883 | CT | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2734 | CT | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 2734 | CT | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 103TF0200X |
Psychologist Specialization: Forensic |
2734 | CT | Behavioral Health & Social Service Providers |
| Street Address |
96 CONNECTICUT BLVD |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982655 | Perry A Staltaro | Clinical Neuropsychologist | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2005-09-19 |
| 1912531294 | Equilibrium Natural Clinic, LLC | Naturopath | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2020-02-26 |
| 1821620659 | Equilibrium Natural Clinic LLC | Naturopath | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2020-02-10 |
| 1295104065 | Crystal Benoit | Counselor | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2015-09-22 |
| 1073925756 | Susan Falato | Counselor | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2014-05-29 |
| 1396165494 | Laura Polito | Social Worker | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2014-04-16 |
| 1093150278 | Cynthia J Leavitt | Counselor | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2013-05-01 |
| 1497014344 | Tracie Lynn Preli-derwin | Social Worker | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2012-05-14 |
| 1821389362 | Elisa Fabiszak | Counselor | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2011-05-02 |
| 1336379841 | Anna Colleen Hartney | Counselor | 96 Connecticut Blvd, East Hartford, CT 06108-3013 | 2009-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
| 1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
| 1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
| 1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| Find all providers in zip 06108 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720246721 | Karen J Scheel Holley | Psychologist | 96 Connecticut Blvd, Staltaro Psychological Services LLC, East Hartford, CT 06108-3013 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363962 | Tyrek J Pratt LLC | Psychologist | 74 New London Tpke Ste 1, Glastonbury, CT 06033-4204 | 2020-10-16 |
| 1003413493 | Dominica B Hernandez | Psychologist | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-08 |
| 1861009417 | Margaret Mary Maher | Psychologist | 225 Main St # Ll, Westport, CT 06880-3216 | 2020-09-28 |
| 1831705573 | Meredith Poster | Psychologist | 6 Rustic Lane, Westport, CT 06880 | 2020-09-18 |
| 1407461619 | Kathy Yuen | Psychologist | 34 Clearview Ave, West Hartford, CT 06119-2201 | 2020-09-14 |
| 1730706912 | Albert Petitpas | Psychologist | 130 Butternut Ln, Kensington, CT 06037-1200 | 2020-07-03 |
| 1285267880 | Margaret Taylor Davis | Psychologist | 2 Church St S Ste 511, New Haven, CT 06519-1760 | 2020-02-21 |
| 1871139196 | Joseph Demers | Psychologist | 330 Post Rd, Darien, CT 06820-3600 | 2019-11-21 |
| 1063053114 | Safe Haven Psychological Services LLC | Psychologist | 491 Main St Ste D, Branford, CT 06405-3505 | 2019-09-30 |
| 1578113403 | Janet Mentore Lee | Psychologist | 124 Woodridge Dr, New Canaan, CT 06840-3511 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06108 |
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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.