MIRIAM L. HAYNES (NPI# 1922366178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922366178 |
| Entity Type | Individual |
| Full Name | MIRIAM L. HAYNES |
| Credential | APRN |
| Practice Address |
200 Retreat Avenue Hartford Hospital Psychiatry Dept Hartford CT 06106-3310 |
| Mailing Address |
Po Box 415933 Hartford Hospital Professional Services Boston MA 02241-5933 |
| Practice Telephone | 8605457330 |
| Mailing Telephone | 8605457602 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2013-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 004945 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
004965 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004049458 | 05 |
| Street Address |
200 RETREAT AVENUE HARTFORD HOSPITAL PSYCHIATRY DEPT |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104824275 | Mary Coeline Colpoys | Internal Medicine | 200 Retreat Avenue, Hartford Hospital Medicine Dept, Hartford, CT 06106-3309 | 2005-07-12 |
| 1184269409 | Jessica Kibbe Harvell | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2019-11-11 |
| 1215417381 | Andrea Sobinski | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2018-08-18 |
| 1245728799 | Hannah Levy | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept (anxiety Disorders), Hartford, CT 06106 | 2018-04-30 |
| 1326558578 | Katherine R Simeone | Counselor | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2017-10-02 |
| 1740709443 | Morgan Lee Madore | Nurse Practitioner | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2017-09-13 |
| 1265964415 | Elyse R Rosenberg | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3390 | 2017-03-28 |
| 1598209124 | Adrienne R Allen | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2016-12-16 |
| 1366984338 | Brianna Marie Blake | Psychologist | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 | 2016-11-08 |
| 1073060661 | Laura S Dodge | Social Worker | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept., Hartford, CT 06106-3310 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1164515946 | Jane Romano | Nurse Practitioner | 675 Tower Ave Ste 301, Hartford, CT 06112-1260 | 2006-10-02 |
| 1427661420 | Advanced Clinical Services LLC | Nurse Practitioner | 556 Zion St, Hartford, CT 06106-2348 | 2020-08-28 |
| 1891316113 | Taryn Westfall | Nurse Practitioner | 330 Main St, Hartford, CT 06106-1860 | 2020-04-27 |
| 1295374668 | Jess Adelman, Aprn LLC | Nurse Practitioner | 51 Gillett St, Hartford, CT 06105-2636 | 2020-01-02 |
| 1982243580 | Melissa Richardson | Nurse Practitioner | 21 Grand St, Hartford, CT 06106-1541 | 2019-12-30 |
| 1710537063 | Chengping Wang | Nurse Practitioner | 500 Albany Ave, Hartford, CT 06120-2508 | 2019-09-18 |
| 1538726930 | Denielle M Mccarthy | Nurse Practitioner | 200 Retreat Ave, Hartford Hospital Psych Dept, Hartford, CT 06106-3309 | 2019-05-22 |
| 1083199764 | Kemmarie Beal, Np, LLC | Nurse Practitioner | 3580 Main St, Hartford, CT 06120-1121 | 2018-09-28 |
| 1497233803 | Emily D Farb | Nurse Practitioner | 200 Retreat Ave, Hartford Hospital Psych Dept, Hartford, CT 06106-3309 | 2018-07-30 |
| Find all providers in HARTFORD | ||||
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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.