MRS. KAITLYN CLANCY


Address: 162 West St, Cromwell, CT 06416-4404
Phone: 8606139930

MRS. KAITLYN CLANCY (NPI# 1861910952) 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) 1861910952
Entity Type Individual
Full Name MRS. KAITLYN CLANCY
Other Name MRS. KAITLYN CLANCY
Credential M.ED
Practice Address 162 West St
Cromwell
CT 06416-4404
Mailing Address 162 West Street
Cromwell
CT 06416
Practice Telephone 8606139930
Enumeration Date 2017-09-08
Last Update Date 2017-09-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 222Q00000X Developmental Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 162 WEST ST
City CROMWELL
State CT
Zip Code 06416-4404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043310063 Doreen Pereira Reis Social Worker 162 West St, Cromwell, CT 06416-4404 2006-09-22
1205482817 Tracy Lynn Guest Developmental Therapist 162 West St, Building 2 Suite F, Cromwell, CT 06416-4404 2019-08-11
1477105880 Gillian Galante Developmental Therapist 162 West St, Cromwell, CT 06416-4404 2019-07-15
1679139950 Connor Daniel Johnson Developmental Therapist 162 West St, Cromwell, CT 06416-4404 2019-05-13
1194209411 Emily Mae Deters Developmental Therapist 162 West St, Building 2 Suite F, Cromwell, CT 06416 2018-09-21
1942702006 Matthew Carl Allen Developmental Therapist 162 West St, Cromwell, CT 06416-4404 2018-03-05
1467970699 Annaliese Airam Castro Developmental Therapist 162 West St, Cromwell, CT 06416-4404 2017-09-08
1972028017 Lauren Edwards Developmental Therapist 162 West St, Cromwell, CT 06416-4404 2017-08-10
1457897696 Breianna Reid Behavioral Analyst 162 West St, Building 2, Suite F, Cromwell, CT 06416-4404 2017-01-11
1649623950 Caitlin Dussan Behavioral Analyst 162 West St, Building 2, Suite F, Cromwell, CT 06416-4404 2016-07-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104469626 Anjali Rowe Developmental Therapist 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 2019-10-28
1366938110 Katherine Sluti Developmental Therapist 162 West St., Building 2 Suite F, Cromwell, CT 06416 2018-07-05
1821597477 Sherry Wong Behavioral Analyst 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 2018-02-09
1952826828 Marlene Dejesus Developmental Therapist 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 2017-08-11
1689199895 Amanda Marie Mimande Developmental Therapist 162 West Street, Building 2, Suite F, Cromwell, CT 06416 2017-08-08
1912260357 Ulrich Klaus Rathey Internal Medicine 2316 Cromwell Hills Drive, Cromwell, CT 06416 2012-06-20
1801171616 Leonard J Zgorski Pharmacist 4 Hammerhead Place, Cromwell, CT 06416 2011-10-13
1396024725 Michelle Nwigwe Nurse Practitioner 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 2011-08-16
1508090028 Giovanna Maria Cammuso Social Worker 22 Tuttle Road, Cromwell, CT 06416 2009-05-12
1992954994 Connecticut Cvs Pharmacy, L.L.C. Durable Medical Equipment & Medical Supplies 72 Berlin Rd., Cromwell, CT 06416 2008-09-15
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Taxonomy Information

Taxonomy Code 222Q00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Developmental Therapist

Taxonomy Definition

A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104469626 Anjali Rowe Developmental Therapist 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 2019-10-28
1972087385 Kaitlin Nicole Soltis Developmental Therapist 162 West St Bldg 2f, Cromwell, CT 06416-4404 2018-09-20
1366938110 Katherine Sluti Developmental Therapist 162 West St., Building 2 Suite F, Cromwell, CT 06416 2018-07-05
1952812190 Diana Hill-destefano Developmental Therapist 162 West St Bldg Suitef, Cromwell, CT 06416-4404 2017-10-16
1952826828 Marlene Dejesus Developmental Therapist 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 2017-08-11
1689199895 Amanda Marie Mimande Developmental Therapist 162 West Street, Building 2, Suite F, Cromwell, CT 06416 2017-08-08
1710586268 Catherine Tatigian Developmental Therapist 162 West St Ste F, Cromwell, CT 06416-4405 2020-10-25
1700484532 Rachel Shea Developmental Therapist 162 West St Ste F, Cromwell, CT 06416-4405 2020-10-14
1326669037 Shannon Delaney Developmental Therapist 162 West St Ste F, Cromwell, CT 06416-4405 2020-05-04
1518586817 Barbara Adams Developmental Therapist 162 West St Ste F, Cromwell, CT 06416-4405 2020-04-16
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Competitor

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City CROMWELL
Zip Code 06416

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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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