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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
162 WEST ST |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-4404 |
| 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 |
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| 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 Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| 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] |
| 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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| 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.