Brian M Padilla (NPI# 1790215093, PAC ID# 6901162338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1790215093 |
| PAC ID by PECOS | 6901162338 |
| Professional Enrollment ID | I20171117000509 |
| Full Name | Brian M Padilla |
| Organization Legal Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
| Address |
339 Eastern St Bldg B New Haven CT 06513-2463 |
| Phone Number | 2037777411 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 4183511538 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 339 Eastern St, Bldg B, New Haven, CT 06513-2463 | 2037777411 | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
| 374 Grand Ave, New Haven, CT 06513-3733 | 2037777411 | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
| Organization Legal Name | FAIR HAVEN COMMUNITY HEALTH CLINIC INC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher O Phillips | Internal Medicine | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Leif Eric Petterson | Nurse Practitioner | Fair Haven Community Health Clinic Inc | 426 E St, New Haven, CT 06511-5018 |
| Anne W Camp | Internal Medicine | Fair Haven Community Health Clinic Inc | 339 Eastern St, Bldg B, New Haven, CT 06513-2463 |
| John C Mcdonagh | Emergency Medicine | Fair Haven Community Health Clinic Inc | 370 Hemingway Ave, East Haven, CT 06512-3240 |
| Ellen J Wormser | Certified Nurse Midwife (cnm) | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Kyle T Elligers | Family Medicine | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Elizabeth A Magenheimer | Nurse Practitioner | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Damaris Rodriguez | Clinical Social Worker | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Priscilla A Jencks | Certified Nurse Midwife (cnm) | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Oni A Muhammad | Certified Nurse Midwife (cnm) | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Street Address |
339 EASTERN ST BLDG B |
| City | NEW HAVEN |
| State | CT |
| Zip | 06513-2463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne W Camp | Internal Medicine | Fair Haven Community Health Clinic Inc | 339 Eastern St, Bldg B, New Haven, CT 06513-2463 |
| Elizabeth M Roessler | Physician Assistant | Fair Haven Community Health Clinic Inc | 339 Eastern St, Bldg B, New Haven, CT 06513-2463 |
| Douglas P Olson | Internal Medicine | Fair Haven Community Health Clinic Inc | 339 Eastern St, Bldg B, New Haven, CT 06513-2463 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy J Leffert | Chiropractic | 847 Foxon Rd, East Haven, CT 06513-1834 | |
| Christine Anne Blatchley | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 501 Lombard St, New Haven, CT 06513-2910 |
| Chaundra C Bailey | Clinical Social Worker | 315 Peck St, New Haven, CT 06513-2933 | |
| Eric Goldberg | Internal Medicine | American Current Care Pa | 370 James St, Suite 304, New Haven, CT 06513-3091 |
| Robert T Sadock | Internal Medicine | American Current Care Pa | 370 James St, Suite 304, New Haven, CT 06513-3091 |
| Abigail Ellen Tischler | Clinical Social Worker | 315 Front St, New Haven, CT 06513-3200 | |
| Kenneth Schwarz | Clinical Psychologist | Dutchess Psychology Practice LLC | 17 Pine St, New Haven, CT 06513-3237 |
| Sameer Syed | Internal Medicine | 258 Grand Ave, Suite 1, New Haven, CT 06513-3723 | |
| Christopher O Phillips | Internal Medicine | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Ellen J Wormser | Certified Nurse Midwife (cnm) | Fair Haven Community Health Clinic Inc | 374 Grand Ave, New Haven, CT 06513-3733 |
| Find all physicians in zip 06513 | |||
| City | NEW HAVEN |
| Zip Code | 06513 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | NEW HAVEN + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Brian M Padilla.
| 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.