HARTFORD HEADACHE CENTER, LLC (NPI# 1972556165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972556165 |
| Entity Type | Organization |
| Organization Name | HARTFORD HEADACHE CENTER, LLC |
| Practice Address |
144 Main Street Suite D East Hartford CT 06118 |
| Practice Telephone | 8608953133 |
| Practice Fax Number | 8608953131 |
| Mailing Telephone | 8608953133 |
| Mailing Fax Number | 8608953131 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | DR. TANYA R BILCHIK (DIRECTOR HARTFORD HEADACHE CENTER) |
| Authorized Official Telephone | 8608953133 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICARE PTAN | C03156 | 01 |
| Street Address |
144 MAIN STREET SUITE D |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205042793 | Eastern Rehabilitation Network Headache Clinic | Physical Therapist | 144 Main Street, Headache Clinic, East Hartford, CT 06108 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457909665 | Theresa R Gardener | Home Health Aide | 38 Footpath Lane, East Hartford, CT 06118 | 2019-08-30 |
| 1841761731 | Zoey Walker | Nurse Practitioner | 281/287 Main Street, East Hartford, CT 06118 | 2018-12-17 |
| 1487147419 | Nesti Risto | Pharmacist | 940 Silver Lane, East Hartford, CT 06118 | 2018-06-13 |
| 1497022578 | Gifty Oteng | Pharmacist | 46 Fowler Ln, East Hartford, CT 06118 | 2011-11-17 |
| 1689636045 | Richard E Amaral | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2006-04-03 |
| 1447789839 | Gino Zaccardelli | Pharmacist | 16 Main St, East Hartford, CT 06118 | 2017-06-08 |
| 1881067247 | Christina Morrissey | Nurse Practitioner | 281 Main St, East Hartford, CT 06118 | 2015-11-07 |
| 1871961052 | Christina Marchitto | Social Worker | 281 Main Street, East Hartford, CT 06118 | 2015-09-04 |
| 1942592514 | Chad Mcdonald | Family Medicine | 281 Main St, East Hartford, CT 06118 | 2011-05-13 |
| 1679734057 | Ronald Verne Hensley | Psychiatry & Neurology | 281 Main Street, East Hartford, CT 06118 | 2008-06-19 |
| Find all providers in zip 06118 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881668101 | Tanya R Bilchik | Psychiatry & Neurology | 144 Main St, Suite D, East Hartford, CT 06118-3239 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
| 1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06118 |
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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.