DR. PIETER JOOST VAN WATTUM (NPI# 1912930033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912930033 |
| Entity Type | Individual |
| Full Name | DR. PIETER JOOST VAN WATTUM |
| Credential | M.D. |
| Practice Address |
93 Edwards St New Haven CT 06511-3933 |
| Practice Telephone | 2037721270 |
| Mailing Telephone | 2037721270 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
037137 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
93 EDWARDS ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407475817 | Francis A Fisco | Social Worker | 93 Edwards St, New Haven, CT 06511-3933 | 2020-04-15 |
| 1386263721 | Christopher Vallecillo | Social Worker | 93 Edwards St, New Haven, CT 06511-3933 | 2020-04-15 |
| 1730708173 | Edward Lessard | Social Worker | 93 Edwards St, New Haven, CT 06511-3986 | 2020-04-15 |
| 1174178354 | Julie Ann Fowler | Psychiatry & Neurology | 93 Edwards St, New Haven, CT 06511-3986 | 2019-08-05 |
| 1275092017 | Victoria Marie Ortiz | Counselor | 93 Edwards St, New Haven, CT 06511-3986 | 2019-03-19 |
| 1336628114 | Danielle Chamberlin | Social Worker | 93 Edwards St, New Haven, CT 06511-3933 | 2018-08-13 |
| 1083104194 | Caitlin Hughs Slotter | Student in an Organized Health Care Education/Training Program | 93 Edwards St, New Haven, CT 06511-3933 | 2018-05-14 |
| 1669994729 | Leanne P Price | Counselor | 93 Edwards St, New Haven, CT 06511 | 2017-07-11 |
| 1003359860 | Kaylie Phelps | Social Worker | 93 Edwards St, New Haven, CT 06511-3933 | 2016-11-28 |
| 1730631888 | Michael Daniel Petras II | Marriage & Family Therapist | 93 Edwards St, New Haven, CT 06511-3933 | 2016-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962647842 | Pamela Edie Hoffman | Psychiatry & Neurology | 230 S Frontage Rd # G112, New Haven, CT 06519-1124 | 2008-12-08 |
| 1417155912 | Paul Saad El-fishawy | Psychiatry & Neurology | 291 Whitney Ave Ste 404, New Haven, CT 06511-3765 | 2007-07-05 |
| 1528261294 | Guita Epstein Wilf | Psychiatry & Neurology | 646 George St, New Haven, CT 06511-5322 | 2007-06-08 |
| 1902921380 | Cornell Scott Hill Health Corporation | Psychiatry & Neurology | 400-428 Columbus Avenue, New Haven, CT 06519-1233 | 2007-03-21 |
| 1568578227 | Margo L. Fugate | Psychiatry & Neurology | 226 Dixwell Avenue, Cfg-dixwell, New Haven, CT 06511-3456 | 2006-08-22 |
| 1487696282 | Eric S Millman | Psychiatry & Neurology | 64 Trumbull St, New Haven, CT 06510-1028 | 2006-06-13 |
| 1932197878 | James F Leckman | Psychiatry & Neurology | 230 S Frontage Rd, Sterling Hall of Medicine - I-wing, New Haven, CT 06519-1124 | 2005-10-13 |
| 1184153447 | Jose Manuel Paez | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-06-08 |
| 1255867255 | Robert Labril | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-05-11 |
| 1366995565 | Maryam Zulfiqar | Psychiatry & Neurology | 20 York St, New Haven, CT 06510-3220 | 2016-07-25 |
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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.