DR. VANJA KONDEV (NPI# 1053332957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053332957 |
| Entity Type | Individual |
| Full Name | DR. VANJA KONDEV |
| Credential | MD |
| Practice Address |
340 Capitol Ave Bridgeport CT 06606-5412 |
| Practice Telephone | 2033675589 |
| Practice Fax Number | 2033300838 |
| Mailing Telephone | 2033675589 |
| Mailing Fax Number | 2033300838 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
040615 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001406158 | 05 |
| Street Address |
340 CAPITOL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164452413 | Daniel Edgardo Nijensohn | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606-5445 | 2006-07-03 |
| 1205077856 | Columbia Mental Health LLC | Psychiatry & Neurology | 340 Capitol Ave, Bridgeport, CT 06606-5412 | 2009-03-11 |
| 1326237256 | Daniel E Nijensohn Md PC | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606 | 2007-10-16 |
| 1831385913 | Connecticut Spine & Rehab, LLC | Chiropractor | 340 Capitol Ave, Bridgeport, CT 06606-5412 | 2007-09-21 |
| 1558489161 | Kathleen Patricia Carius | Registered Nurse | 340 Capitol Ave, Bridgeport, CT 06606-5412 | 2007-03-26 |
| 1699783647 | Michael Ernest Opalak | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606 | 2006-08-04 |
| 1407875370 | James Patrick Berg | Physical Therapist | 340 Capitol Ave, Bridgeport, CT 06606-5445 | 2006-07-19 |
| 1073539367 | Patrick Paul Mastroianni | Specialist | 340 Capitol Ave, Bridgeport, CT 06606-5445 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629344858 | Kevin Douglas Junkins | Psychiatry & Neurology | 65 Professional Pl Ste 102, Bridgeport, WV 26330 | 2012-04-02 |
| 1063548899 | Reginald Anthony Hoffler | Psychiatry & Neurology | 1106 North Ave, Bridgeport, CT 06604-2710 | 2007-02-26 |
| 1649326075 | Muhammad Salman | Psychiatry & Neurology | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2007-01-26 |
| 1629185764 | Chiman I Patel LLC | Psychiatry & Neurology | 144 Golden Hill St, Suite 202, Bridgeport, CT 06604-4117 | 2006-08-24 |
| 1386677813 | Simon Mcclure | Psychiatry & Neurology | 1160 Johnson Ave, Suite 105, Bridgeport, WV 26330 | 2006-07-08 |
| 1801898804 | Jose A Camacho-pantoja | Psychiatry & Neurology | 46 Albion St, Southwest Community Health Center, Inc, Bridgeport, CT 06605-2602 | 2005-08-10 |
| 1659378354 | Toni B Goodykoontz | Psychiatry & Neurology | 1400 Johnson Ave, Suite 4h, Bridgeport, WV 26330-1063 | 2005-07-07 |
| 1336639947 | Jennifer April Howard | Psychiatry & Neurology | 527 Medical Park Dr Ste 105, Bridgeport, WV 26330-9009 | 2018-05-18 |
| 1659884690 | Nova Vita Medical PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-11-13 |
| 1023535135 | Nova Vita Health Services PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-08-29 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
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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.