TRISHA DIBIASE (NPI# 1154895704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154895704 |
Entity Type | Individual |
Full Name | TRISHA DIBIASE |
Credential | PMHNP-BC |
Practice Address |
187 S Canaan Rd Canaan CT 06018-2544 |
Mailing Address |
15 Rockwell St Winsted CT 06098-2043 |
Practice Telephone | 8608241397 |
Enumeration Date | 2019-01-16 |
Last Update Date | 2019-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
8046 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
187 S CANAAN RD |
City | CANAAN |
State | CT |
Zip Code | 06018-2544 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144406802 | Shanthi Mogali | Psychiatry & Neurology | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2008-01-11 |
1760029524 | Colin Whitaker | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2019-11-28 |
1366904799 | Gabrielle Kathleen Wynschenk | Marriage & Family Therapist | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2019-04-04 |
1992274427 | Anthony Joseph Nave Jr. | Social Worker | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2018-11-14 |
1366910341 | Crystal Lynn Sonnati | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2018-11-07 |
1598256612 | Meesha Jemison | Registered Nurse | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2018-05-24 |
1942711858 | Lukasz W Junger | Nurse Practitioner | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2017-10-18 |
1194248617 | Katherine Phelps Downes | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2017-07-18 |
1134662778 | Kathryn Fitzgerald | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2016-11-30 |
1740633379 | Abdul Jalil Shabazz | Counselor | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2016-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780038331 | Lisa Beth Westerson | Social Worker | 187 South Canaan Road, Canaan, CT 06018 | 2016-04-20 |
1245609361 | Chelsi Flood | Counselor | 187 South Canaan Rd, Canaan, CT 06018 | 2015-09-18 |
1437539434 | Karen Browning | Physical Therapist | 99 South Canaan Rd, Canaan, CT 06018 | 2015-06-04 |
1366871147 | Sophia Hartell | Acupuncturist | Route 7, Box 717, Canaan, CT 06018 | 2013-11-02 |
1083883177 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 Route 7, Canaan, CT 06018 | 2008-02-22 |
1962527762 | Thomas Livingstone | Dentist | 3 Railroad St., Canaan, CT 06018 | 2007-03-20 |
1396271557 | Joycelyn Faraj | Dietitian, Registered | Route 7, Box 717, Canaan, CT 06018 | 2017-05-10 |
1023423399 | Housatonic Valley Dental Care | Clinic/Center | 60 Church Street, Canaan, CT 06018 | 2014-06-25 |
1205049392 | Donald T Martin | Dentist | 100 Main Street, Canaan, CT 06018 | 2007-05-07 |
1326128331 | Jane Erin Simonds | Physical Therapist | 99 South Canaan Road, Canaan, CT 06018 | 2006-10-16 |
Find all providers in zip 06018 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942711858 | Lukasz W Junger | Nurse Practitioner | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2017-10-18 |
1154708832 | Ryan Lee | Nurse Practitioner | 187 S Canaan Rd, Canaan, CT 06018-2544 | 2015-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
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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.