THERESA PENNACHIO


Address: 428 Columbus Avenue, Child Family Guidance, New Haven, CT 06519-1233
Phone: 2035033055

THERESA PENNACHIO (NPI# 1891118204) 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) 1891118204
Entity Type Individual
Full Name THERESA PENNACHIO
Credential LMFT
Practice Address 428 Columbus Avenue
Child Family Guidance
New Haven
CT 06519-1233
Mailing Address Po Box 7720
Credentialing Specialist
New Haven
CT 06519-0720
Practice Telephone 2035033055
Practice Fax Number 2035033066
Mailing Telephone 2035033174
Mailing Fax Number 2035033183
Enumeration Date 2014-01-22
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004235918 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
75 West St, Danbury, CT 068106528 8608666837

Office Location

Street Address 428 COLUMBUS AVENUE
CHILD FAMILY GUIDANCE
City NEW HAVEN
State CT
Zip Code 06519-1233

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518067230 Marybeth Holak Nurse Practitioner 428 Columbus Avenue, Dermatology, New Haven, CT 06519-1233 2006-09-23
1285271072 Lalida Long Nurse Practitioner 428 Columbus Avenue, Internal Medicine, New Haven, CT 06519-1233 2019-11-29
1851852339 Isabella Yiroa Chen Dentist 428 Columbus Avenue, Dental, New Haven, CT 06519 2019-03-27
1528536745 Viviana Angelina Ojeda Dentist 428 Columbus Avenue, Columbus Dental, New Haven, CT 06519-1233 2018-11-06
1982102083 Jonathan Franklin Johnson Jr. Registered Nurse 428 Columbus Avenue, Pediatrics, New Haven, CT 06519-1233 2018-01-24
1558891531 Matthew Zaringhalam Internal Medicine 428 Columbus Avenue, Convenient Care, New Haven, CT 06519-1233 2017-06-13
1376925370 Shanique Bingham Podiatrist 428 Columbus Avenue, Podiatry, New Haven, CT 06519-1233 2015-06-25
1083093181 Hadrian Holder Family Medicine 428 Columbus Avenue, New Haven, CT 06519-1233 2015-05-21
1801185996 Amelia Watkins Pediatrics 428 Columbus Avenue, Cornell Scott-hill Health Center, New Haven, CT 06519-1233 2011-03-29
1619149515 Jamil Ayanna Harp Obstetrics & Gynecology 428 Columbus Avenue, New Haven, CT 06519-1233 2008-03-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
Find all providers in zip 06519

Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871100388 Lp Counseling Services, LLC Marriage & Family Therapist 470 James St Ste 7, New Haven, CT 06513-3175 2020-09-29
1366053589 James Matthew Fields Marriage & Family Therapist 584 Chapel St Apt 3b, New Haven, CT 06511-6980 2020-08-11
1861012189 Janice Mary Trelease Marriage & Family Therapist 773 Townsend Ave, New Haven, CT 06512-5017 2020-04-17
1801442447 Benedicte Aarestrup Marriage & Family Therapist 288 Front Street, New Haven Ct, New Haven, CT 06513-0651 2019-08-09
1215425764 Howard E Ratner Marriage & Family Therapist 340 Whitney Ave Ste 3, New Haven, CT 06511-2317 2018-04-30
1336656073 Lisa F. Votto Marriage & Family Therapist 98 Oakley St, New Haven, CT 06513-4626 2018-01-03
1487023693 Chapel Haven, Inc. Marriage & Family Therapist 1040 Whalley Ave, New Haven, CT 06515-1740 2015-09-17
1932447448 Esther L Greene Marriage & Family Therapist 145 Curtis Dr, New Haven, CT 06515-2307 2013-01-18
1730443375 Margarita Reina Garcia Marriage & Family Therapist 831 Chapel St, Apt. 5, New Haven, CT 06510-3038 2012-06-28
1538467121 Jessica Lori Joseff Marriage & Family Therapist 1435 State St Fl 2, New Haven, CT 06511-2702 2011-03-04
Find all providers in NEW HAVEN

Competitor

Search similar providers

City NEW HAVEN
Zip Code 06519

Improve Information

Please comment or provide details below to improve the information on THERESA PENNACHIO.

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.

Trending Searches