AVIV THERAPEUTIC SERVICES LLC (NPI# 1871038596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871038596 |
| Entity Type | Organization |
| Organization Name | AVIV THERAPEUTIC SERVICES LLC |
| Practice Address |
450 Monroe Tpke Suite 105 Monroe CT 06468-2343 |
| Mailing Address |
Po Box 123 Botsford CT 06404-0123 |
| Practice Telephone | 2037331129 |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | AMY DAVIDA SINGER (OWNER CLINICIAN) |
| Authorized Official Telephone | 2034266829 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 003327 | CT | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | AVIV THERAPEUTIC SERVICES LLC | 450 Monroe Turnpike Suite 105, Monroe, CT 06468 |
| Street Address |
450 MONROE TPKE SUITE 105 |
| City | MONROE |
| State | CT |
| Zip Code | 06468-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578558466 | Paul A. Moyse | Chiropractor | 450 Monroe Tpke, Suite 102, Monroe, CT 06468-2343 | 2005-09-16 |
| 1184706962 | Saul I Sloan | Dentist | 450 Monroe Tpke, Monroe, CT 06468-2343 | 2006-10-20 |
| 1720093685 | Nicholas Tzakas | Pediatrics | 450 Monroe Tpke, Monroe, CT 06468-2343 | 2006-07-29 |
| 1720001456 | Mary Paramanathan | Pediatrics | 450 Monroe Tpke, Monroe, CT 06468-2343 | 2006-07-25 |
| 1992725238 | Jason M. Citarella | Pediatrics | 450 Monroe Tpke, Monroe, CT 06468-2343 | 2006-07-20 |
| 1871573188 | Maria L. Ferreira | Pediatrics | 450 Monroe Tpke, Monroe, CT 06468-2343 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932117 | Christine Fuchs | Social Worker | 755 Main Street, Building 8, Monroe, CT 06468 | 2019-03-21 |
| 1700379765 | Emily Ding | Dentist | 241 Monroe Tpke, Monroe, CT 06468 | 2018-06-13 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1871013219 | Growth Therapy LLC | Marriage & Family Therapist | 755 Main St., Monroe, CT 06468 | 2017-06-27 |
| 1134677719 | Jacqueline M D'louhy | Social Worker | 115 Main St Main Street Counseling, Unit 3, Monroe, CT 06468 | 2016-09-13 |
| 1841638913 | Tara E Beall-gomes | Counselor | 755 Main St Unit 3, Monroe, CT 06468 | 2013-06-11 |
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1427383488 | Danielle Maryott | Social Worker | 755 Main Street No. 8 Suite B, Monroe, CT 06468 | 2009-10-08 |
| 1710194758 | Rory T Perimenis | Dentist | 324 Elm Street, Suite 201a, Monroe, CT 06468 | 2007-05-17 |
| 1548339542 | Donald P. Opatrny | Marriage & Family Therapist | 755 Main St Ste 2, Aspetuck Counseling Center, Monroe, CT 06468 | 2006-11-06 |
| Find all providers in zip 06468 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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| 1700347598 | Aspirewell, LLC | Community/Behavioral Health | 1615 Jackson St, Monroe, LA 71202-2029 | 2019-03-26 |
| 1780160390 | Special Care Services of Louisiana Inc | Community/Behavioral Health | 1401 Hudson Ln Ste 135, Monroe, LA 71201-6037 | 2018-07-17 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1740789312 | Merakey Pennsylvania | Community/Behavioral Health | 1808 Glenmar Ave, Monroe, LA 71201-4932 | 2018-02-08 |
| 1427563550 | Oak Tree Therapy Pllc | Community/Behavioral Health | 755 Main Street, Building #1, Monroe, CT 06468 | 2017-12-12 |
| 1972016004 | Straight N Arrow Counseling Service, LLC | Community/Behavioral Health | 111 E 1st St Ste 300, Monroe, MI 48161-2265 | 2017-11-11 |
| 1346761822 | Inreach | Community/Behavioral Health | 100 Winchester Ave, Monroe, NC 28110-3161 | 2017-07-05 |
| 1124552088 | The Bridge of Georgia School, Inc | Community/Behavioral Health | 109 Blaine St, Monroe, GA 30655-2403 | 2017-04-18 |
| 1831630326 | New Direction Peer Recovery Center | Community/Behavioral Health | 201 W Front St, Monroe, MI 48161-2355 | 2017-03-16 |
| Find all providers in MONROE | ||||
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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.