EASTERN CONNECTICUT PSYCHOLOGICAL ASSOCIATES, LLC (NPI# 1942578778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942578778 |
Entity Type | Organization |
Organization Name | EASTERN CONNECTICUT PSYCHOLOGICAL ASSOCIATES, LLC |
Practice Address |
12 Case St Suite 202 Norwich CT 06360-2222 |
Practice Telephone | 8608860015 |
Practice Fax Number | 8608860015 |
Mailing Telephone | 8608860015 |
Mailing Fax Number | 8608860015 |
Enumeration Date | 2011-12-07 |
Last Update Date | 2015-10-13 |
Authorized Official Name | DR. JOSEPH PATRICK LANG (OWNER) |
Authorized Official Telephone | 8608860015 |
Authorized Official Credential | PH.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1875 | CT | Ambulatory Health Care Facilities |
Street Address |
12 CASE ST SUITE 202 |
City | NORWICH |
State | CT |
Zip Code | 06360-2222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871598649 | Mahesh Narayan Kabadi | Internal Medicine | 12 Case St, Ste 102, Norwich, CT 06360-2222 | 2005-06-16 |
1831564160 | Amy Masse | Clinical Neuropsychologist | 12 Case St, Suite 301, Norwich, CT 06360-2222 | 2015-12-12 |
1790199784 | Ct Psychological Associates | Clinical Neuropsychologist | 12 Case St, Suite 301, Norwich, CT 06360-2222 | 2014-06-17 |
1942584636 | Stephanie Malia | Nurse Practitioner | 12 Case St, Suite 213, Norwich, CT 06360-2222 | 2011-09-29 |
1609173160 | Advanced Community Support, LLC | Home Health | 12 Case St, Suite 206, Norwich, CT 06360-2222 | 2011-02-18 |
1558664839 | Rita Cecile Ammons | Massage Therapist | 12 Case St, Suite 306, Norwich, CT 06360-2222 | 2010-12-08 |
1730333998 | Deborah M. Zlatin | Social Worker | 12 Case St, Suite 301, Norwich, CT 06360-2222 | 2008-11-13 |
1174782767 | Backus Physician Services, LLC | Colon & Rectal Surgery | 12 Case St, Suite 313, Norwich, CT 06360-2222 | 2008-06-09 |
1942467352 | Christy Ann Stanat | Surgery | 12 Case St, Norwich, CT 06360-2222 | 2008-05-22 |
1659584290 | Recovery Resources, LLC | Home Health | 12 Case St, Suite 205, Norwich, CT 06360-2222 | 2007-05-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
Find all providers in zip 06360 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972029643 | The Connection Inc | Clinic/Center | 101 Water St, Norwich, CT 06360-5730 | 2017-08-15 |
1447318662 | Chenango County Catholic Charities | Clinic/Center | 3 Ohara Dr, Norwich, NY 13815-2046 | 2006-12-04 |
1902831548 | State of Connecticut | Clinic/Center | 401 West Thames Street, Building 301, Norwich, CT 06360 | 2006-07-12 |
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1841816956 | Angela Olivia Roberts, Aprn, LLC | Clinic/Center | 427 Naubuc Ave Ste 101, Glastonbury, CT 06033-1082 | 2020-06-24 |
1437708708 | Clean Rxeach LLC | Clinic/Center | 1506 Post Rd Ste 4, Fairfield, CT 06824-5916 | 2019-09-09 |
1447812250 | Camellia Place Healthcare Services LLC | Clinic/Center | 100 Market Sq Ste 12, Newington, CT 06111-2921 | 2019-07-01 |
1427616077 | Therigatha Center for Psychotherapy | Clinic/Center | 68 Bridge St Unit 301, Suffield, CT 06078-3108 | 2019-05-30 |
1942864145 | Cynthia Leavitt, LLC | Clinic/Center | 39 New London Tpke Ste 316, Glastonbury, CT 06033-2061 | 2019-04-24 |
1285108498 | Lana Lachance LLC | Clinic/Center | 346 Main St S Fl 2, Woodbury, CT 06798-3409 | 2019-01-22 |
1295215093 | Mindful Therapy Studio LLC | Clinic/Center | 16 Rae Palmer Road, Moodus, CT 06423 | 2018-08-21 |
1356831960 | Connecticut Counseling Centers Inc | Clinic/Center | 15 Commerce Rd Lowr 1, Stamford, CT 06902-4553 | 2018-05-18 |
1780189480 | Connecticut Counseling Centers, Inc. | Clinic/Center | 290 Pratt St Ste 2312, Meriden, CT 06450-8600 | 2018-03-26 |
1750807426 | The Connection Inc | Clinic/Center | 37 Garden St, Hartford, CT 06105-2129 | 2017-08-15 |
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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.