COMPASSIONATE PSYCHIATRIC CARE, LLC (NPI# 1134407174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134407174 |
Entity Type | Organization |
Organization Name | COMPASSIONATE PSYCHIATRIC CARE, LLC |
Practice Address |
60 Boston Post Rd Second Floor Madison CT 06443-2157 |
Practice Telephone | 2034216156 |
Practice Fax Number | 2034216157 |
Mailing Telephone | 2034216156 |
Mailing Fax Number | 2034216157 |
Enumeration Date | 2011-07-25 |
Last Update Date | 2012-02-17 |
Authorized Official Name | SHARON E DURIVAGE (APRN-BC) |
Authorized Official Telephone | 2034216156 |
Authorized Official Credential | APRN-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
004454 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | COMPASSIONATE PSYCHIATRIC CARE, LLC | 60 Boston Post Road, Madison, CT 06443 |
Street Address |
60 BOSTON POST RD SECOND FLOOR |
City | MADISON |
State | CT |
Zip Code | 06443-2157 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942847058 | Kendrick L Norris | Psychoanalyst | 60 Boston Post Rd, Madison, CT 06443-2157 | 2019-12-09 |
1265611826 | Sara Hernandez | Social Worker | 60 Boston Post Rd, Madison, CT 06443-2157 | 2007-10-31 |
1447366687 | John Andrew Murphy | Counselor | 60 Boston Post Rd, Madison, CT 06443-2157 | 2006-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194127506 | Heather R. Clinton | Social Worker | 847 West Main Street, Suite 3, Branford, CT 06443 | 2014-09-17 |
1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
1073750493 | Darlene F. Talavera | Occupational Therapist | 22 Overshore Drive, Madison, CT 06443 | 2009-01-08 |
1013182518 | Susan Jean Isaac | Social Worker | 105 Winding Road, Unit 2, Madison, CT 06443 | 2008-04-25 |
1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
Find all providers in zip 06443 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922022359 | Susan M. James | Clinical Nurse Specialist | 147 Durham Rd, Oak Park, Madison, CT 06443-2675 | 2006-07-27 |
1548214133 | Lorrie W Hylkema | Clinical Nurse Specialist | 306 N Brooks St, Va Csp, Madison, WI 53715-1002 | 2006-05-19 |
1043388531 | Lee C. Crigler | Clinical Nurse Specialist | 110 Washington St, Madison, VA 22727-3055 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750777827 | Janice P. Holmes | Clinical Nurse Specialist | 87 Georges Ln, Monroe, CT 06468-3138 | 2015-04-15 |
1336556513 | Deborah S Greene Aprn LLC | Clinical Nurse Specialist | 760 Hopmeadow St, Box 813, Simsbury, CT 06070-2223 | 2014-07-19 |
1053626929 | Madonna Kay Fasula | Clinical Nurse Specialist | 100 York St Ste 2j, New Haven, CT 06511-5664 | 2010-08-16 |
1396900270 | Annmarie Bernier | Clinical Nurse Specialist | 19 Nursery Dr, West Hartford, CT 06117-2737 | 2008-07-21 |
1003934282 | Christopher E Allen | Clinical Nurse Specialist | 71 East Avenue, Ste F, Norwalk, CT 06851-4903 | 2007-03-27 |
1417085465 | Mary F Scully | Clinical Nurse Specialist | 29 Shadow Ln, West Hartford, CT 06110-1641 | 2007-03-01 |
1609971696 | Christopher John Kochis | Clinical Nurse Specialist | 998 Farmington Ave, Suite 123, West Hartford, CT 06107-2162 | 2006-09-14 |
1508883588 | Donna Humeston Hoskins | Clinical Nurse Specialist | 22 Upper Main St, Sharon, CT 06069-2083 | 2006-07-16 |
1013956366 | Katherine M. Nichols | Clinical Nurse Specialist | 75 Swantown Hl, Stonington Institute, North Stonington, CT 06359-1022 | 2006-06-05 |
1811970551 | Jacquelyn A Meyer | Clinical Nurse Specialist | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2005-11-28 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on COMPASSIONATE PSYCHIATRIC CARE, LLC.
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.