Gregory N Peterson (NPI# 1619916962, PAC ID# 9830175736) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1619916962 |
| PAC ID by PECOS | 9830175736 |
| Professional Enrollment ID | I20040629001179 |
| Full Name | Gregory N Peterson |
| Organization Legal Name | CATHOLIC CHARITIES INC ARCHDIOCESE OF HARTFORD |
| Address |
205 Wakelee Ave Ansonia CT 06401-1234 |
| Phone Number | 2037357481 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 2567367469 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070016 | SAINT MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 205 Wakelee Ave, Ansonia, CT 06401-1234 | 2037357481 | CATHOLIC CHARITIES INC ARCHDIOCESE OF HARTFORD |
| Organization Legal Name | CATHOLIC CHARITIES INC ARCHDIOCESE OF HARTFORD |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Marie Salisbury | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 45 Wadsworth St, Hartford, CT 06106-7108 |
| Janine Laura Hitchens-parker | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 203 High St, Milford, CT 06460-3250 |
| Christine Anne Blatchley | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 501 Lombard St, New Haven, CT 06513-2910 |
| Catherine F Lewis | Psychiatry | Catholic Charities Inc Archdiocese of Hartford | 56 Church St, Waterbury, CT 06702-2103 |
| Anne Marie Crisanti | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 205 Wakelee Ave, Ansonia, CT 06401-1234 |
| Arturo E Morales | Psychiatry | Catholic Charities Inc Archdiocese of Hartford | 45 Wadsworth St, Hartford, CT 06106-7108 |
| Izamari Garcia | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 56 Church St, Waterbury, CT 06702-2103 |
| Cheryl A Tedesco | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 205 Wakelee Ave, Ansonia, CT 06401-1234 |
| Peter G Sandwell | Psychiatry | Catholic Charities Inc Archdiocese of Hartford | 45 Wadsworth St, Hartford, CT 06106-7108 |
| Tanya Ruth Bassett | Nurse Practitioner | Catholic Charities Inc Archdiocese of Hartford | 205 Wakelee Ave, Ansonia, CT 06401-1234 |
| Street Address |
205 WAKELEE AVE |
| City | ANSONIA |
| State | CT |
| Zip | 06401-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Marie Crisanti | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 205 Wakelee Ave, Ansonia, CT 06401-1234 |
| Cheryl A Tedesco | Clinical Social Worker | Catholic Charities Inc Archdiocese of Hartford | 205 Wakelee Ave, Ansonia, CT 06401-1234 |
| Tanya Ruth Bassett | Nurse Practitioner | Catholic Charities Inc Archdiocese of Hartford | 205 Wakelee Ave, Ansonia, CT 06401-1234 |
| Nicole M Derobertis | Clinical Social Worker | Catholic Charities Inc - Archdiocese of Hartford | 205 Wakelee Ave, Ansonia, CT 06401-1234 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joel S Zaretzky | Internal Medicine | 199 Wakelee Ave, Ansonia, CT 06401-1145 | |
| Kornelia Thomas | Family Medicine | Griffin Faculty Physicians Inc | 111 Wakelee Ave, Ansonia, CT 06401-1151 |
| Daniel Sylvan Lavy | Colorectal Surgery (proctology) | Physicians Alliance of Connecticut LLC | 111 Wakelee Ave, Ansonia, CT 06401-1151 |
| Bruce T Brennan | Internal Medicine | 22 Westfield Ave, Ansonia, CT 06401-1158 | |
| Jonathan T Simon | Gastroenterology | Griffin Faculty Physicians Inc | 22 Westfield Ave, Suite 2, Ansonia, CT 06401-1158 |
| Madhu S Gowda | Internal Medicine | 22 Westfield Ave, Ansonia, CT 06401-1158 | |
| Mark S Grogan | Cardiovascular Disease (cardiology) | Cardiology Associates of Derby PC | 22 Westfield Ave, Ansonia, CT 06401-1158 |
| Muhammad E Qadir | Internal Medicine | Northeast Medical Group Inc | 22 Westfield Ave, Suite 1, Ansonia, CT 06401-1158 |
| Mary Ellie Stankus | Nurse Practitioner | Griffin Faculty Physicians Inc | 22 Westfield Ave, Suite 2, Ansonia, CT 06401-1158 |
| Harold Mark Schwartz | Gastroenterology | Griffin Faculty Physicians Inc | 22 Westfield Ave, Suite 2, Ansonia, CT 06401-1158 |
| Find all physicians in zip 06401 | |||
| City | ANSONIA |
| Zip Code | 06401 |
| Specialty | PSYCHIATRY |
| City + Specialty | ANSONIA + PSYCHIATRY |
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| 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.