DR. LUIS A. AVALOS (NPI# 1073523106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073523106 |
| Entity Type | Individual |
| Full Name | DR. LUIS A. AVALOS |
| Credential | M.D. |
| Practice Address |
47 Town St Norwich CT 06360-2315 |
| Practice Telephone | 8608927042 |
| Mailing Telephone | 8608927042 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
027349 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 001273490 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295192607 | Luis Avalos | Behavioral Analyst | 73 Alamitos Ave Apt 8, Long Beach, CA 90802-5421 | 2016-01-15 |
| 1669031241 | Luis Darwin Avalos | Counselor | 8755 Aero Dr Ste 230, San Diego, CA 92123-1750 | 2019-06-07 |
| Street Address |
47 TOWN ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741534 | Elizabeth L Goodin | Dentist | 47 Town St, Norwich, CT 06360-2315 | 2005-06-22 |
| 1730786674 | Elizabeth Florentine | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-10-05 |
| 1063028975 | Colleen Roche | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-09-17 |
| 1477167120 | Erin Apt | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-09-01 |
| 1558973610 | Ashley Lynn West | Nurse Practitioner | 47 Town St, Norwich, CT 06360-2323 | 2020-08-20 |
| 1427671353 | Kathryn Brahm | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2020-05-27 |
| 1336761485 | Debra Gottschalk | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2020-05-12 |
| 1689200859 | Jillian Hardy | Marriage & Family Therapist | 47 Town St, Norwich, CT 06360-2323 | 2020-03-19 |
| 1629610860 | Victoria Hulsman | Counselor | 47 Town St, Norwich, CT 06360-2323 | 2019-10-09 |
| 1407402654 | Katherine Ramos | Social Worker | 47 Town St, Norwich, CT 06360-2323 | 2019-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
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| 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 |
|---|---|---|---|---|
| 1417143603 | Diaa F Noaman | Psychiatry & Neurology | 22 Case St, Norwich, CT 06360-2215 | 2007-09-20 |
| 1730259797 | James Maurice Napier | Psychiatry & Neurology | 295 Main Street, Norwich, VT 05055 | 2006-11-08 |
| 1982783247 | Comprehensive Psychiatric Care PC | Psychiatry & Neurology | 200 West Town St, Norwich, CT 06360 | 2006-11-06 |
| 1497841183 | Miranda Mohabir | Psychiatry & Neurology | 10 Henry St, Norwich, NY 13815-1302 | 2006-10-04 |
| 1588629679 | Martin Jude Maloney | Psychiatry & Neurology | 77 E Town St, Norwich, CT 06360-2338 | 2006-04-20 |
| 1053967463 | John Kemp | Psychiatry & Neurology | 2 Cliff St, Norwich, CT 06360-5850 | 2019-08-12 |
| 1760916878 | Ayala Danzig | Psychiatry & Neurology | 326 Washington St, Norwich, CT 06360-2740 | 2017-04-14 |
| 1457761587 | Manu Suresh Sharma | Psychiatry & Neurology | 326 Washington St, Norwich, CT 06360 | 2014-04-28 |
| 1891130597 | Kelly Jaziri | Psychiatry & Neurology | 108 New London Tpke, Norwich, CT 06360 | 2013-05-08 |
| 1639482334 | Hanady Gouta | Psychiatry & Neurology | 326 Washington St, Norwich, CT 06360-2740 | 2010-07-22 |
| Find all providers in NORWICH | ||||
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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.