DR. KYLE DEAN PRUETT (NPI# 1144428004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144428004 |
| Entity Type | Individual |
| Full Name | DR. KYLE DEAN PRUETT |
| Credential | M.D. |
| Practice Address |
900 Chapel St Suite 1212 New Haven CT 06510-2802 |
| Mailing Address |
40 Trumbull Rd Northampton MA 01060-3023 |
| Practice Telephone | 2037770609 |
| Mailing Telephone | 4135845811 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | A15783 | CT | Behavioral Health & Social Service Providers |
| Street Address |
900 CHAPEL ST SUITE 1212 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235279514 | Carol N Charkow | Social Worker | 900 Chapel St, Suite 1212, New Haven, CT 06510 | 2007-02-07 |
| 1043711567 | Rebecca Robinson | Counselor | 900 Chapel St, New Haven, CT 06510-2802 | 2018-02-21 |
| 1437661097 | Joseph Canelli | Social Worker | 900 Chapel St, New Haven, CT 06510-2802 | 2017-11-03 |
| 1487837399 | Julie Elizabeth Peters | Psychiatry & Neurology | 900 Chapel St, Suite 1212, New Haven, CT 06510-2802 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598311599 | Families On The Line, LLC | Counselor | 129 Church St Ste 807, New Haven, CT 06510-2005 | 2019-08-15 |
| 1063985877 | Robin M Knight | Counselor | 471 Lighthouse Rd, New Haven, CT 06512-4015 | 2019-01-03 |
| 1215413505 | Mia Vita Counseling LLC | Counselor | 425 Dixwell Ave, New Haven, CT 06511-1771 | 2018-07-19 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1225543457 | Re-focus Foundation Inc. | Counselor | 157 Church Street, 19th Floor, New Haven, CT 06510 | 2017-12-11 |
| 1851804231 | Clara Tilley | Counselor | 900 Chapel St Ste 1400, New Haven, CT 06510-2814 | 2017-11-08 |
| 1255876926 | Della Marie Mullins | Counselor | 900 Grand Ave Apt 6, New Haven, CT 06511-4982 | 2017-01-04 |
| 1164826327 | Jamie Jakubus | Counselor | 57224 Tanglewood St, New Haven, MI 48048-2993 | 2014-10-17 |
| 1710325824 | Jose Villafuerte | Counselor | 628 George St, New Haven, CT 06511-5362 | 2013-06-11 |
| 1528311735 | Phillipa Blake | Counselor | 140 Dewitt St, New Haven, CT 06519-2133 | 2012-10-25 |
| Find all providers in NEW HAVEN | ||||
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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.