CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC. (NPI# 1861866139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861866139 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC. |
| Practice Address |
495 Gold Star Hwy Suite 220 Groton CT 06340-6230 |
| Mailing Address |
495 Gold Star Hwy Suite 220 Groton CT 06340-6228 |
| Practice Telephone | 8603265405 |
| Practice Fax Number | 8603265571 |
| Mailing Telephone | 8603265405 |
| Mailing Fax Number | 8603265571 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | MARIA HIGGINS (MANAGER) |
| Authorized Official Telephone | 8603265405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
041692 | CT | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC | 495 Gold Star Hwy, Suite 220, Groton, CT 06340 |
| Street Address |
495 GOLD STAR HWY SUITE 220 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225067895 | Steven Y Wei | Orthopaedic Surgery | 495 Gold Star Hwy, Suite 300, Groton, CT 06340-6228 | 2006-07-03 |
| 1306373162 | Catherine M Reinhardt | Counselor | 495 Gold Star Hwy, Groton, CT 06340-6228 | 2017-05-11 |
| 1649596214 | Jennifer Selden, Ph.d., LLC | Psychologist | 495 Gold Star Hwy, Suite 200, Groton, CT 06340-6228 | 2010-04-08 |
| 1447459672 | Eric R. Wolf, M.d., P.C. | Dermatology | 495 Gold Star Hwy, Suite 108, Groton, CT 06340-6228 | 2007-07-17 |
| 1033311915 | Gold Star Pediatrics LLC | Pediatrics | 495 Gold Star Hwy, Ste 495, Groton, CT 06340-6228 | 2007-06-04 |
| 1134344476 | Rebecca Tyler Davis | Physical Therapist | 495 Gold Star Hwy, Groton, CT 06340-6228 | 2007-04-13 |
| 1245350537 | Frederick William Berggren Jr. | Physical Therapy Assistant | 495 Gold Star Hwy, Suite112, Groton, CT 06340-6228 | 2007-03-30 |
| 1568508042 | James A Wollschlager | Dentist | 495 Gold Star Hwy, Suite 312, Groton, CT 06340-6228 | 2007-01-30 |
| 1790845949 | Mary A Glenn | Pediatrics | 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 | 2006-12-11 |
| 1548331374 | Carol J Fiftal | Pediatrics | 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730912 | Chelsea Morgan | Psychologist | 300 George St Ste 900, New Haven, CT 06511-6660 | 2020-11-08 |
| 1073127270 | Whitney Buckley | Psychologist | 2505 Black Rock Tpke Ste 2, Fairfield, CT 06825-2408 | 2020-09-04 |
| 1194333823 | Brian Joseph Lussier | Psychologist | 15 Preston Rd, Terryville, CT 06786-4209 | 2020-07-20 |
| 1407403934 | Educational Advancement Associates | Psychologist | 15 Schoolhouse Lndg, East Granby, CT 06026-2601 | 2019-08-20 |
| 1053770982 | Lori Attanasio Woodring | Psychologist | 7 Sylvan Ln, Old Greenwich, CT 06870-2318 | 2016-02-20 |
| 1831562255 | Carlene Davidson | Psychologist | 300 Hebron Ave Ste 217, Glastonbury, CT 06033-2192 | 2015-11-06 |
| 1912387606 | Kathryn Hagen | Psychologist | 86 John St Apt C, New Britain, CT 06051-2762 | 2015-06-08 |
| 1376947937 | Nicholas Gelbar | Psychologist | 222 Warrenville Rd, Mansfield Center, CT 06250-1128 | 2014-10-10 |
| 1710320049 | David Gallaway | Psychologist | 238 Ratlum Rd, New Hartford, CT 06057-2318 | 2013-04-17 |
| 1992056675 | New Connection Inc | Psychologist | 446 Blake St # 200a, New Haven, CT 06515-1286 | 2012-09-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC..
| 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.