DR. MICHEL C MENNESSON (NPI# 1063621506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063621506 |
| Entity Type | Individual |
| Full Name | DR. MICHEL C MENNESSON |
| Credential | M.D. |
| Practice Address |
175 Arch Bridge Rd Bethlehem CT 06751-1613 |
| Practice Telephone | 2033666164 |
| Practice Fax Number | 2032666163 |
| Mailing Telephone | 2033666164 |
| Mailing Fax Number | 2032666163 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0015X |
Psychiatry & Neurology Specialization: Psychosomatic Medicine |
024353 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
175 ARCH BRIDGE RD |
| City | BETHLEHEM |
| State | CT |
| Zip Code | 06751-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578123436 | Towne Apothecary LLC | Pharmacy | 95 Main St South, Bethlehem, CT 06751 | 2019-06-13 |
| 1780031476 | Margaret Biggart | Counselor | 98 Todd Hill Rd, Bethlehem, CT 06751 | 2016-05-23 |
| 1538590922 | Holly Andrea Leever | Acupuncturist | 381 Guilds Hollow Rd, Bethlehem, CT 06751 | 2013-12-10 |
| 1932105293 | Bethlehem Ambulance Association Inc | Ambulance | Main St South, Bethlehem, CT 06751 | 2005-06-22 |
| 1922351667 | Catherine Nagle | Counselor | 21 Arch Bridge Rd, Bethlehem, CT 06751 | 2012-10-18 |
| 1508195959 | Monroe Operations, LLC | Psychiatric Residential Treatment Facility | 64 Double Hill Rd, Bethlehem, CT 06751 | 2009-12-14 |
| 1154475184 | The Wellspring Foundation, Inc. | Clinic/Center | 21 Arch Bridge Rd., Bethlehem, CT 06751-0370 | 2007-01-23 |
| 1962575407 | Andrew C. Wells | Family Medicine | 22east St, Bethlehem, CT 06751-0490 | 2006-11-15 |
| 1407417124 | Monroe Operations, LLC | Substance Abuse Rehabilitation Facility | 98 Todd Hill Rd, Bethlehem, CT 06751-1018 | 2019-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| Find all providers in zip 06751 | ||||
| Taxonomy Code | 2084P0015X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychosomatic Medicine |
| Psychosomatic Medicine is subspecialty in the diagnosis and treatment of psychiatric disorders and symptoms in complex medically ill patients. This subspecialty includes treatment of patients with acute or chronic medical, neurological, obstetrical or surgical illness in which psychiatric illness is affecting their medical care and/or quality of life such as HIV infection, organ transplantation, heart disease, renal failure, cancer, stroke, traumatic brain injury, high-risk pregnancy and COPD, among others. Patients also may be those who have a psychiatric disorder that is the direct consequence of a primary medical condition, or a somatoform disorder or psychological factors affecting a general medical condition. Psychiatrists specializing in Psychosomatic Medicine provide consultation-liaison services in general medical hospitals, attend on medical psychiatry inpatient units, and provide collaborative care in primary care and other outpatient settings. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871719591 | Melissa Wunsch | Psychiatry & Neurology | 260 Riverside Ave, Westport, CT 06880-4804 | 2007-04-18 |
| 1649484445 | Erica Lise Weiss | Psychiatry & Neurology | 291 Whitney Ave, New Haven, CT 06511-3724 | 2007-05-10 |
| 1164647541 | Debra Kotoski Ressler | Psychiatry & Neurology | 3 Sylvan Rd S, Westport, CT 06880-4642 | 2007-04-13 |
| 1851446843 | Jeremy Benjamin Barowsky | Psychiatry & Neurology | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2007-01-23 |
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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.