CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES, PC (NPI# 1124340203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124340203 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES, PC |
| Practice Address |
112 Betsy Brown Rd Port Chester NY 10573-2231 |
| Practice Telephone | 9149376174 |
| Practice Fax Number | 9149376174 |
| Mailing Telephone | 9149376174 |
| Mailing Fax Number | 9149376174 |
| Enumeration Date | 2010-02-17 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | DR. TIMOTHY W. WELLES (PRESIDENT) |
| Authorized Official Telephone | 9149376174 |
| Authorized Official Credential | ED.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
2657 | CT | Behavioral Health & Social Service Providers |
| Street Address |
112 BETSY BROWN RD |
| City | PORT CHESTER |
| State | NY |
| Zip Code | 10573-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487976742 | Westchester Geriatric Psychological Services PC | Psychologist | 112 Betsy Brown Rd, Port Chester, NY 10573-2231 | 2010-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627288 | Nikkita Jackson | Registered Nurse | 454 Westchester Avenue, Port Chester, NY 10573 | 2020-07-23 |
| 1568091676 | Jessica Michelle Cabrera-guzhnay | Counselor | One Gateway Plaza St.3b, Port Chester, NY 10573 | 2020-04-02 |
| 1275036436 | Vernon Z Harris | Massage Therapist | Rye Brook Physical Medicine and Rehabilitation PC, 14 Rye Ridge Plaza Suite 238, Rye Brook, NY 10573 | 2018-03-14 |
| 1750825303 | Christopher Petrowski | Contractor | 310 Locust Avenue, Port Chester, NY 10573 | 2016-12-15 |
| 1457808974 | Rye Ridge Pharmacy Inc | Pharmacy | 146 S. Ridge Street, Rye Brook, NY 10573 | 2016-09-01 |
| 1841646270 | Jill Brookman | Specialist | 124 Country Ridge Drive, Rye Brook, NY 10573 | 2016-05-04 |
| 1396128963 | Madhulika Priya Advani | Dentist | 118 South Ridge St, Suite 5, Rye Brook, NY 10573 | 2015-07-01 |
| 1407254063 | Mirzana Calhoun | Licensed Practical Nurse | 411 Westchester Ave 1-c, Port Chester, NY 10573 | 2014-12-15 |
| 1053734038 | Marvin Israel Matz | Otolaryngology | 60 Doral Greens Drive West, Rye Brook, NY 10573 | 2014-01-28 |
| 1932520392 | Beth Woodtli | Counselor | 12 Jean Lane, Rye Brook, NY 10573 | 2014-01-02 |
| Find all providers in zip 10573 | ||||
| Taxonomy Code | 103TA0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Adult Development & Aging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075075 | Yana Lechtman | Psychologist | 315 Gates Ave, Brooklyn, NY 11216-6224 | 2020-08-25 |
| 1396378055 | Restart Psychological Services PC | Psychologist | 821 Newburg Ave, Valley Stream, NY 11581-3107 | 2020-02-20 |
| 1396223780 | Sunrise Senior Service LLC | Psychologist | 10505 Northern Blvd, Corona, NY 11368-1132 | 2018-07-30 |
| 1861740474 | Chaim Siegel | Psychologist | 246 Beach 13th St, Far Rockaway, NY 11691-5506 | 2012-08-29 |
| 1306193487 | Lynne E. Schwartz | Psychologist | 401 W 110th St, New York, NY 10025-2422 | 2012-08-08 |
| 1275814055 | Marian Rissenberg, Ph.d., Neuropsychologist, Pllc | Psychologist | 125 Katonah Ave, Katonah, NY 10536-2136 | 2011-09-07 |
| 1386953388 | Alma Halbert Bond | Psychologist | 720 W End Ave, @1112, New York, NY 10025-6299 | 2010-09-26 |
| 1720258387 | Transitional Services for Ny | Psychologist | 1016 162nd St, Whitestone, NY 11357-2124 | 2008-03-10 |
| 1881892719 | Robert Alan Katz | Psychologist | 930 East 7th Street, Apartment 4-g, Brooklyn, NY 11230-2727 | 2007-07-03 |
| 1568664217 | Dan L Epstein | Psychologist | 25 S Calumet Ave, Hastings On Hudson, NY 10706-1815 | 2007-06-04 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHESTER |
| Zip Code | 10573 |
Please comment or provide details below to improve the information on CONNECTICUT GERIATRIC PSYCHOLOGICAL SERVICES, PC.
| 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.