MR. MICHAEL GRAHAM SR. (NPI# 1861632507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861632507 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL GRAHAM SR. |
| Credential | LCSW |
| Practice Address |
796 Highland Avenue Waterbury CT 06708-4710 |
| Mailing Address |
796 Highland Ave Second Floor Waterbury CT 06708-4710 |
| Practice Telephone | 2037570151 |
| Practice Fax Number | 2037570153 |
| Mailing Telephone | 2037570151 |
| Mailing Fax Number | 2037570153 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2011-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
006958 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922459346 | Michael William Graham | Physical Therapist | 10 Playland Dr, Saint Albans, WV 25177-3440 | 2016-06-27 |
| 1164731477 | Michael Graham | Registered Nurse | 5728 Yearling St, Lakewood, CA 90713-1854 | 2010-10-04 |
| 1689801813 | Michael Patrick John Graham | Counselor | 3705 Marquette Ave Ne, Albuquerque, NM 87108-1031 | 2009-06-15 |
| 1013125319 | Michael James Graham | Dentist | 406 3rd Ave Ne, Cullman, AL 35055-2928 | 2007-05-18 |
| 1598985657 | Michael Steven Graham | Family Medicine | 37 Haystack Rd, Hinesburg, VT 05461-6613 | 2007-04-30 |
| 1023237591 | Michael Bernard Graham | Internal Medicine | 2775 Sanders Rd, Suite C1, Northbrook, IL 60062-6110 | 2007-04-24 |
| 1902927502 | Michael Charles Graham | Hearing Instrument Specialist | 13112 Nacogdoches Rd Ste 2, San Antonio, TX 78217-1548 | 2007-04-02 |
| 1083776868 | Michael E Graham | Obstetrics & Gynecology | 4720 S I-10 Service Road, Suite 104, Metairie, LA 70001 | 2006-12-15 |
| 1205901477 | Michael Clyde Graham | Physician Assistant | 225 6th St, Potlatch, ID 83855-5002 | 2006-11-22 |
| 1285748228 | Michael Callan Graham | Counselor | 4545 N. 36th Street, Suite 102, Phoenix, AZ 85018 | 2006-08-18 |
| Street Address |
796 HIGHLAND AVENUE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359212 | Puja Senning | Counselor | 372 Pollander Rd, Waterbury, VT 05676-9428 | 2020-09-08 |
| 1922568914 | Bags Foundation Ct Inc | Counselor | 135 E Liberty St, Waterbury, CT 06706-1301 | 2019-03-25 |
| 1043759046 | Ann Gannon | Counselor | 567 S Pinnacle Ridge Rd, Waterbury, VT 05676-9623 | 2017-02-23 |
| 1780120295 | Melitza Velez | Counselor | 80 Prospect St., Waterbury, CT 06702 | 2017-01-09 |
| 1467813600 | Ashley Joseph | Counselor | 30 Holmes Ave, Waterbury, CT 06702 | 2016-03-16 |
| 1982090130 | Alice Forestier | Counselor | 23 Dinatali Dr, Waterbury, CT 06705-3702 | 2015-04-14 |
| 1992196984 | Neelam Asghar-sarwar | Counselor | 74 Buckingham St, Waterbury, CT 06710-1908 | 2015-02-11 |
| 1922403534 | Tiffany Thompson | Counselor | 26 Hidden Pond Rd, Waterbury, CT 06704-1245 | 2014-10-24 |
| 1710380019 | Chananya Abraham | Counselor | 32 Hillside Ave, Waterbury, CT 06710-2217 | 2014-09-30 |
| 1215337423 | Channa Schnitzler | Counselor | 104 Blueridge Drive Ext, Waterbury, CT 06704-6122 | 2014-08-26 |
| Find all providers in WATERBURY | ||||
Please comment or provide details below to improve the information on MR. MICHAEL GRAHAM SR..
| 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.