Bennett Edward Moehl (NPI# 1063674893, PAC ID# 3678835931) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1063674893 |
| PAC ID by PECOS | 3678835931 |
| Professional Enrollment ID | I20180326002013 |
| Full Name | Bennett Edward Moehl |
| Organization Legal Name | MEDOP BEHAVIORAL HEALTH ASSOCIATES PC |
| Address |
55 Hatchetts Hill Rd Old Lyme CT 06371-1534 |
| Phone Number | 80037036511171 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 8224047568 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 | 80037036511171 | MEDOP BEHAVIORAL HEALTH ASSOCIATES PC |
| Organization Legal Name | MEDOP BEHAVIORAL HEALTH ASSOCIATES PC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cora D Zembrzuski | Certified Clinical Nurse Specialist (cns) | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Donna M Wallace | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Karen Donovan | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Debora Doyle Ouellette | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Alyson M Nicolosi | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Gabriell Budoff | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Catherine Sheahan | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Jennifer Lou Landolt | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Adria Dibenedetto | Psychologist, Clinical | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Deborah Rosenberg | Psychologist, Clinical | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Street Address |
55 HATCHETTS HILL RD |
| City | OLD LYME |
| State | CT |
| Zip | 06371-1534 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cora D Zembrzuski | Certified Clinical Nurse Specialist (cns) | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Donna M Wallace | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Karen Donovan | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Debora Doyle Ouellette | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Alyson M Nicolosi | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Gabriell Budoff | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Catherine Sheahan | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Jennifer Lou Landolt | Nurse Practitioner | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Adria Dibenedetto | Psychologist, Clinical | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Deborah Rosenberg | Psychologist, Clinical | Medop Behavioral Health Associates PC | 55 Hatchetts Hill Rd, Old Lyme, CT 06371-1534 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David F Zita | Psychologist, Clinical | 164 Four Mile River Rd, Old Lyme, CT 06371-1325 | |
| Ann Therese Haydu | Clinical Social Worker | 12 Jericho Dr, Old Lyme, CT 06371-1326 | |
| Vinod V Pathy | Plastic and Reconstructive Surgery | 5 Davis Rd E, Old Lyme, CT 06371-1413 | |
| David J Frederiks | Family Medicine | 8 Davis Rd W, Old Lyme, CT 06371-1448 | |
| Jay Graves | Family Medicine | Northeast Medical Group Inc | 19 Halls Rd, Old Lyme, CT 06371-1457 |
| Olaf J Ogland | Psychiatry | 19 Halls Rd, Suite 235, Old Lyme, CT 06371-1457 | |
| Suresh Dmello | Family Medicine | Northeast Medical Group Inc | 19 Halls Rd, Old Lyme, CT 06371-1457 |
| Steven J Difilippo | Clinical Social Worker | 19 Halls Rd, Suite 234, Old Lyme, CT 06371-1457 | |
| Terrence A Doherty | Family Medicine | Northeast Medical Group Inc | 19 Halls Rd, Old Lyme, CT 06371-1457 |
| Christine A Semenza | Optometry | 19 Halls Rd, Suite 210, Old Lyme, CT 06371-1457 | |
| Find all physicians in zip 06371 | |||
| City | OLD LYME |
| Zip Code | 06371 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | OLD LYME + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Bennett Edward Moehl.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.