DIANE M BRAY (NPI# 1073552865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073552865 |
| Entity Type | Individual |
| Full Name | DIANE M BRAY |
| Credential | APRN, BC |
| Practice Address |
664 Prospect Ave Hartford CT 06105-4203 |
| Mailing Address |
554 Niles Rd New Hartford CT 06057-2412 |
| Practice Telephone | 8602368087 |
| Practice Fax Number | 8605867422 |
| Mailing Telephone | 8603797154 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
000772 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS/ BLUE SHIELD | 400000772-CT01 | 01 |
| CT | BLUE CROSS/ BLUE SHIELD | 400000772-CT02 | 01 |
| CT | OXFORD | P1935240 | 01 |
| CT | VALUE OPTIONS | 134533 | 01 |
| CT | AETNA | 4556305 | 01 |
| CT | MHN | 188780 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033495783 | Diane Bray | Registered Nurse | 223 S 2nd Ave, Mount Vernon, NY 10550-3904 | 2011-10-26 |
| 1225094642 | Diane Bray | Podiatrist | 431 E Chocolate Ave, Ste 3, Hershey, PA 17033-1310 | 2006-04-25 |
| Street Address |
664 PROSPECT AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245681386 | Carlita Francine Elias | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2016-06-30 |
| 1245561463 | Avalon Psychological Group, P.C. | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2010-01-28 |
| 1407083843 | Jeffrey A Asmar LLC | Community/Behavioral Health | 664 Prospect Ave, Hartford, CT 06105-4203 | 2009-06-11 |
| 1588828644 | Catherine Tufano | Counselor | 664 Prospect Ave, Hartford, CT 06105 | 2008-07-17 |
| 1720255862 | Jessica G Lyons | Social Worker | 664 Prospect Ave, 2nd Floor, Hartford, CT 06105-4203 | 2008-05-08 |
| 1144402033 | Steven M Katz, Md,llc | Psychiatry & Neurology | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-12-03 |
| 1841412186 | Cynthia R Leach | Social Worker | 664 Prospect Ave, Hartford, CT 06105 | 2007-05-03 |
| 1407971971 | Cordelia K Hatheway | Counselor | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-03-20 |
| 1770621310 | Mark S Braunsdorf | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-02-04 |
| 1386790392 | Ruth Hofstatter | Counselor | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467417113 | Liane A Hennessey | Clinical Nurse Specialist | 200 Retreat Avenue, Donnelly Building Institute of Living, Hartford, CT 06106 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104072073 | Patricia D. Barry, Phd, Aprn, LLC | Clinical Nurse Specialist | 60 Linnard Rd, West Hartford, CT 06107-1234 | 2008-08-12 |
| 1336262989 | Cara Marie Bartos | Clinical Nurse Specialist | 152 Simsbury Road, Building 9, Avon, CT 06001 | 2007-04-09 |
| 1669519724 | Linda Noll Demas | Clinical Nurse Specialist | 8 Ridge Dr, Old Saybrook, CT 06475-4227 | 2007-01-30 |
| 1083769590 | Nicholas Roy Gilbert | Clinical Nurse Specialist | 152 Simsbury Rd, Building 9, 2nd Floor, Avon, CT 06001-3777 | 2007-01-24 |
| 1306909601 | Lisabeth Emerson Johnston | Clinical Nurse Specialist | 361 Park Road, West Hartford, CT 06119 | 2006-12-18 |
| 1750495610 | Leslie Hetzel O'connor | Clinical Nurse Specialist | Yale- New Haven Hospital, 20 York Street, New Haven, CT 06504 | 2006-08-18 |
| 1326058926 | Colleen Mcdermott | Clinical Nurse Specialist | 151 Hazard Ave Suite 4, Johnson Professional Associates, Enfield, CT 06082 | 2006-08-08 |
| 1205842127 | Arlene Dumais | Clinical Nurse Specialist | 402 Long Hill Rd, Groton, CT 06340-3811 | 2006-07-31 |
| 1598787087 | Brian Geyser | Clinical Nurse Specialist | 51 Old Village Cir, Wallingford, CT 06492-4821 | 2006-07-24 |
| 1275553562 | Debra Ann Santos | Clinical Nurse Specialist | 282 Durham Rd, Madison, CT 06443-2454 | 2006-07-20 |
| 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.