DR. RENATA NIZIOLEK (NPI# 1972886794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972886794 |
| Entity Type | Individual |
| Full Name | DR. RENATA NIZIOLEK |
| Credential | PSYD. |
| Practice Address |
21 Waterville Rd Avon CT 06001-2097 |
| Practice Telephone | 8602840182 |
| Practice Fax Number | 8602846804 |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003048 | CT | Behavioral Health & Social Service Providers |
| Street Address |
21 WATERVILLE RD |
| City | AVON |
| State | CT |
| Zip Code | 06001-2097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699737189 | Carol Burnham Tuller | Nurse Practitioner | 21 Waterville Rd, Harvest Healthcare C/o Apple Rehab, Avon, CT 06001 | 2006-04-03 |
| 1134735210 | Eulah Lacey | Nurse Practitioner | 21 Waterville Rd, Avon, CT 06001-2097 | 2020-09-23 |
| 1467078345 | Dina Cowles | Social Worker | 21 Waterville Rd, Avon, CT 06001-2097 | 2020-06-17 |
| 1578199527 | Danielle Zatt | Physician Assistant | 21 Waterville Rd, Avon, CT 06001-2097 | 2020-03-20 |
| 1558908046 | Truc Vuu | Nurse Practitioner | 21 Waterville Rd, Avon, CT 06001-2097 | 2019-12-04 |
| 1144870668 | Elyse Healthcare Manning | Social Worker | 21 Waterville Rd, Avon, CT 06001-2097 | 2019-09-17 |
| 1003385451 | Sasha Perry | Nurse Practitioner | 21 Waterville Rd, Avon, CT 06001-2097 | 2018-11-15 |
| 1366928053 | Joseph A Cherepon | Psychologist | 21 Waterville Rd, Avon, CT 06001-2097 | 2018-07-16 |
| 1003318262 | Andrea Rindone | Social Worker | 21 Waterville Rd, Avon, CT 06001-2097 | 2018-03-05 |
| 1366963704 | Nicole Weld | Social Worker | 21 Waterville Rd, Avon, CT 06001-2097 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134644230 | Stacie Freudenberg | Psychologist | 1060 W. Beaver Creek Blvd, Avon, CO 81620 | 2017-08-09 |
| 1932561222 | Farmington Valley Integrative Therapy, LLC | Psychologist | 35 Tower Ln Ste 104, Avon, CT 06001-4237 | 2016-03-24 |
| 1467609065 | Christi M Orlowski | Psychologist | 21 Waterville Road, Avon, CT 06001 | 2008-08-26 |
| 1245494343 | Hsiao-ching Chu | Psychologist | 1 Darling Dr Ste 16, Avon, CT 06001-4244 | 2008-07-17 |
| 1912160417 | Tina Z Fleishman | Psychologist | 30 Benchmark Road, Suite 224, Avon, CO 81620 | 2008-07-03 |
| 1285768754 | Susan J Sampl | Psychologist | 34 Dale Rd Ste 212, Avon, CT 06001-3659 | 2007-03-15 |
| 1427121433 | Jay Rogers Beatman | Psychologist | 46 W Avon Rd, Ste 302, Avon, CT 06001-3679 | 2006-11-16 |
| 1205913340 | Wendy F Habelow | Psychologist | 40 Dale Road, Suite 201, Avon, CT 06001 | 2006-11-01 |
| 1053335232 | Henry J. Goetze | Psychologist | 100 W. Beaver Creek Blvd, Suite 218, Avon, CO 81620-8572 | 2006-07-27 |
| 1073567889 | Doris Odell Ryan | Psychologist | 6655 Us 36 East, Cummins Behavioral Health Services, Avon, IN 46123 | 2006-05-19 |
| Find all providers in AVON | ||||
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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.