RENU O KOTHARI (NPI# 1871563700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871563700 |
| Entity Type | Individual |
| Full Name | RENU O KOTHARI |
| Credential | MD |
| Practice Address |
591 Poquonnock Rd Groton CT 06340-4571 |
| Practice Telephone | 8604498217 |
| Practice Fax Number | 8604498323 |
| Mailing Telephone | 8604498217 |
| Mailing Fax Number | 8604498323 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2019-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20325 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
5601 | RI | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
20325 | CT | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD05601 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008035572 | 05 | |
| RI | 7001845 | 05 |
| Street Address |
591 POQUONNOCK RD |
| City | GROTON |
| State | CT |
| Zip Code | 06340-4571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109324 | Kim L. Adams | Marriage & Family Therapist | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2020-06-19 |
| 1972153781 | Alison Doolittle | Social Worker | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2019-09-13 |
| 1568010551 | Eilish M Conway | Social Worker | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2019-09-03 |
| 1194381988 | Tori Ashley Penner | Social Worker | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2019-05-16 |
| 1336591924 | Jeannine Cleaver | Counselor | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2016-07-07 |
| 1710336235 | Stefanie M Marino-goodrich | Counselor | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2016-06-06 |
| 1255741716 | Veronica Findlay | Counselor | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2014-05-05 |
| 1174889109 | Susannah Jane Forte Stahr | Counselor | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2012-04-04 |
| 1689822199 | Courtney Seely | Social Worker | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2008-09-09 |
| 1285811265 | Sara Ann M. Jakub | Counselor | 591 Poquonnock Rd, Groton, CT 06340-4571 | 2008-01-22 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871741876 | Ernesto Reyes Soriano | Psychiatry & Neurology | 213 Neptune Drive, Groton, CT 06340 | 2008-09-03 |
| 1184605958 | Petra Heike Steinbuchel | Psychiatry & Neurology | 15 Old Lantern Ln # B, Groton, MA 01450-2201 | 2005-11-09 |
| 1255322996 | Mark William Mittauer | Psychiatry & Neurology | Rte 12 Bldg 449, Groton, CT 06349-5600 | 2005-11-02 |
| 1265428544 | Numan Gharaibeh | Psychiatry & Neurology | 1353 Gold Star Hwy, Groton, CT 06340-2739 | 2005-09-22 |
| 1619282191 | Kimberly C. Riquelme | Psychiatry & Neurology | 1353 Gold Star Hwy, Groton, CT 06340 | 2010-08-09 |
| 1841494523 | Christopher Allen Stetler | Psychiatry & Neurology | 1 Wahoo Ave, Groton, CT 06349-2324 | 2007-06-14 |
| 1801832928 | Ismail Yahyazade | Psychiatry & Neurology | Route 12 Bldg 449, Naval Ambulatory Care Center Attn Professional Affairs, Groton, CT 06349-5600 | 2006-06-20 |
| 1770565566 | Robert A Grillo Jr. | Psychiatry & Neurology | 1 Wahoo Ave, Groton, CT 06349-2324 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346859709 | Andre Burey Md Pllc | Psychiatry & Neurology | 1051 Post Rd Ste 1, Darien, CT 06820-5436 | 2020-07-30 |
| 1245848670 | Behavioral Wellness Partners | Psychiatry & Neurology | 167 Cherry St #101, Milford, CT 06460-3466 | 2020-07-22 |
| 1659905313 | Restart Health and Wellness LLC | Psychiatry & Neurology | 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 | 2020-03-02 |
| 1407410921 | Dr. Katrina Furey, Md, LLC | Psychiatry & Neurology | 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 | 2019-04-30 |
| 1063996221 | Alexia Bajwa Cortella | Psychiatry & Neurology | 5 Wedgewood Ct, Newtown, CT 06470-1792 | 2018-09-23 |
| 1427536101 | Mar Y Sol Mental Health Experts LLC | Psychiatry & Neurology | 50 Federal Rd Ste 1a, Danbury, CT 06810-6129 | 2018-08-03 |
| 1619470655 | Becky Kreuzer Aprn, Pmhnp, LLC | Psychiatry & Neurology | 22 Pine St Ste 205, Bristol, CT 06010-6949 | 2018-03-15 |
| 1982104063 | Carl Chi | Psychiatry & Neurology | 22 Goodrich Ln, Portland, CT 06480-1063 | 2018-02-15 |
| 1659808699 | Psy-visions of Connecticut, LLC | Psychiatry & Neurology | 88 Main St S Ste B201, Southbury, CT 06488-2276 | 2017-05-22 |
| 1639605082 | Neil Michael Kurtz | Psychiatry & Neurology | 165 Old Redding Road, Weston, CT 06883 | 2017-05-04 |
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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.