MENTAL HEALTH RESOURCES LLC (NPI# 1053419747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053419747 |
Entity Type | Organization |
Organization Name | MENTAL HEALTH RESOURCES LLC |
Practice Address |
125 Hemlock Point Dr Coventry CT 06238-2336 |
Practice Telephone | 8606170510 |
Mailing Telephone | 8606170510 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2017-03-04 |
Authorized Official Name | OLGA SELIKHOV (OWNER) |
Authorized Official Telephone | 8606170510 |
Authorized Official Credential | APRN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
003094 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | ANTHEM BCBS | 400003094CT03 | 01 |
Street Address |
125 HEMLOCK POINT DR |
City | COVENTRY |
State | CT |
Zip Code | 06238-2336 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
1932201308 | Paul Ilario Szwez | Chiropractor | 28 Lake St., Coventry, CT 06238 | 2006-09-05 |
1306879242 | Richard A St. Dennis | Physician Assistant | 3514 Main Street, Coventry, CT 06238 | 2006-07-07 |
1871071423 | Chastity J. Pimental Lcsw, Pllc | Social Worker | 1153 Main St, Coventry, CT 06238 | 2018-08-04 |
1881726123 | Daniel M Mclennon | Dentist | 16 Lake St., Coventry, CT 06238-0327 | 2007-03-12 |
1568686970 | Jennifer Therian | Counselor | 32 Church Lane, Coventry, CT 06238-0749 | 2007-04-13 |
1821332115 | Jenifer L Gietek | Social Worker | 21 Bread and Milk St Fl 1, Coventry, CT 06238-1012 | 2012-11-27 |
1144531989 | Barbara Forstberg Lcsw LLC | Community/Behavioral Health | 21 Bread and Milk St, Coventry, CT 06238-1012 | 2010-06-26 |
1396007043 | Julie Lynn Ingenohl | Marriage & Family Therapist | 58 Zeya Dr, Coventry, CT 06238-1035 | 2012-06-08 |
1407888332 | Krista A Catalan | Physical Therapist | 1683 Boston Tpke, Coventry, CT 06238-1105 | 2006-07-07 |
Find all providers in zip 06238 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679699284 | Susan Grace | Nurse Practitioner | 1153 Main St, Coventry, CT 06238-3115 | 2007-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
Find all providers with the same taxonomy |
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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.