CHARLES BRUCE ANDERSON (NPI# 1942408752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942408752 |
| Entity Type | Individual |
| Full Name | CHARLES BRUCE ANDERSON |
| Credential | PH.D. |
| Practice Address |
Director, Unh Counseling Center 300 Boston Post Road West Haven CT 06516 |
| Practice Telephone | 8043851429 |
| Mailing Telephone | 8043851429 |
| Mailing Fax Number | 2039316082 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
003485 | CT | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
0810003796 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1703 W Main St, Second Floor, Richmond, VA 232204634 | 8043851429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1538608575 | Charles Anderson | Social Worker | 145 W K St, Casper, WY 82601-1018 | 2017-02-22 |
| 1922451194 | Charles Anderson | Counselor | 4250 River Center Ct Ne, Suite D, Cedar Rapids, IA 52402-7546 | 2016-07-22 |
| 1790172013 | Charles Anderson | Marriage & Family Therapist | 825 Webster St Ste D, Fairfield, CA 94533-5522 | 2015-04-24 |
| 1083054274 | Charles Lee Anderson | Dentist | 2240 E Windrow Ave, Fort Huachuca, AZ 85613-7040 | 2013-07-02 |
| 1427390970 | Charles Anderson Iv | Counselor | 1445 Hartford Ter, Alpharetta, GA 30004-0661 | 2013-03-22 |
| 1376896084 | Charles Nolis Anderson | Pharmacist | 17605 S. Halsted Street, Homewood, IL 60430 | 2012-10-18 |
| 1720377179 | Charles E Anderson | Pharmacist | 3030 Market Ave N, Canton, OH 44714-1428 | 2011-04-06 |
| 1831494194 | Charles Robert Anderson | Behavioral Analyst | 1892 Hollow Oak Dr, Kingston, OK 73439-9745 | 2011-01-18 |
| 1255635215 | Charles H. Anderson | Counselor | 631 Spanish Oak Ct, Arlington, TX 76002-4535 | 2011-01-06 |
| Street Address |
DIRECTOR, UNH COUNSELING CENTER 300 BOSTON POST ROAD |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164045100 | Perennial Wellness Pllc | Psychologist | 250 Post Rd E Ste 106, Westport, CT 06880-3616 | 2020-05-26 |
| 1477181790 | Aed Psychotherapy, LLC | Psychologist | 140 Elm St Ste 1, New Canaan, CT 06840-5400 | 2020-03-31 |
| 1588172621 | Mclain Coffin Counseling, LLC | Psychologist | 132 E Putnam Ave Ste 26a, Cos Cob, CT 06807-2724 | 2018-01-10 |
| 1992128318 | John Melton | Psychologist | 141 Trout Avenue, Groton, CT 06349-5900 | 2014-01-22 |
| 1144595448 | Daniel Thomas Sciarra | Psychologist | 1 Kimberly Dr, Westport, CT 06880-1227 | 2012-03-20 |
| 1477838399 | Barry Andrew Schreier | Psychologist | 234 Glenbrook Rd # U2011, University of Connecticut, Storrs, CT 06269-2011 | 2011-10-12 |
| 1609173665 | Patrick Mcauliffe | Psychologist | 24 Bailey Ave, Ridgefield, CT 06877-4555 | 2011-02-27 |
| 1235434234 | Richard William Stillson | Psychologist | Silver St., Middletown, CT 06457 | 2011-01-21 |
| 1124215744 | Christopher J Cutter Jr. | Psychologist | 230 South Frontage St., Yale Child Study Center, New Haven, CT 06519-7900 | 2007-09-27 |
| 1023215043 | Lynn Merle Sussman | Psychologist | 1173 Rock Rimmon Rd, Stamford, CT 06903-1210 | 2007-07-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.