CONNECTICUT PSYCHIATRIC & WELLNESS CENTER (NPI# 1174902084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174902084 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT PSYCHIATRIC & WELLNESS CENTER |
| Practice Address |
1 Bradley Rd 404 Woodbridge CT 06525-2285 |
| Mailing Address |
1 Bradley Rd Suite 404 Woodbridge CT 06525-2285 |
| Practice Telephone | 2032989005 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | DAVID AVERSA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2032989005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2422 | CT | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659736569 | Connecticut Psychiatric & Wellness Center | Social Worker | 2446 Whitney Ave Fl 2, Hamden, CT 06518-3233 | 2015-12-18 |
| Street Address |
1 BRADLEY RD 404 |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2285 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366441826 | William N Schreiber | Internal Medicine | 1 Bradley Rd, Suite 709, Woodbridge, CT 06525-2285 | 2005-07-18 |
| 1457803934 | Stacy Mantel | Counselor | 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 | 2016-10-31 |
| 1811354053 | Shannon Webb | Physical Medicine & Rehabilitation | 1 Bradley Rd, Ste 801, Woodbridge, CT 06525-2285 | 2016-01-19 |
| 1821462375 | Lorraine Byam | Counselor | 1 Bradley Rd, Suite 404, Woodbridge, CT 06525-2285 | 2015-11-20 |
| 1982077947 | Nicole Derobertis, Lcsw, LLC | Social Worker | 1 Bradley Rd, Suite 707, Woodbridge, CT 06525-2285 | 2015-11-12 |
| 1811370125 | Monica A. Starr, Aprn, LLC | Nurse Practitioner | 1 Bradley Rd, Suite 206, Woodbridge, CT 06525-2285 | 2015-07-06 |
| 1568843183 | Claudia-santi Ferrante Fernandes | Counselor | 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 | 2015-06-10 |
| 1225443708 | Ashley Donovan | Social Worker | 1 Bradley Rd, 905, Woodbridge, CT 06525-2285 | 2014-06-24 |
| 1205176856 | Connecticut Orthopaedic Specialists, PC | Neurological Surgery | 1 Bradley Rd, Unit 501-502, Woodbridge, CT 06525-2285 | 2013-02-19 |
| 1265784607 | Beverley Charmaine Phillips-lewis | Social Worker | 1 Bradley Rd, Suite 905, Woodbridge, CT 06525-2285 | 2012-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1538604566 | Susan G Israel | Psychiatry & Neurology | 18 Carriage Hill Road, Woodbridge, CT 06525 | 2016-12-29 |
| 1417409947 | Personal Care Training LLC | Home Health | 30 Hazel Terace #7, Woodbridge, CT 06525 | 2016-11-01 |
| 1538506324 | James A Killian | Counselor | 1 Bradley Rd Ste 106, Woodbridge, CT 06525 | 2013-06-03 |
| 1154666063 | Julie M Charron | Physical Therapy Assistant | 5 Spring Valley Rd, Woodbridge, CT 06525 | 2012-12-04 |
| 1780931022 | Edward David Martino | Dentist | 1674 Litchfield Turnpike, Woodbridge, CT 06525 | 2012-08-06 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1629383906 | Innovative Healthcare | Exclusive Provider Organization | 555 Amity Rd., Woodbridge, CT 06525 | 2010-08-11 |
| 1437300225 | Carl B. Lundborg | Orthopaedic Surgery | 4 Fox Hill Rd, Woodbridge, CT 06525 | 2008-10-10 |
| 1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
| Find all providers in zip 06525 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127411 | Youth Outreach Services | Community/Behavioral Health | 7050 Lakota Dr Apt 301, Woodbridge, VA 22192-5392 | 2020-09-02 |
| 1770142697 | Well Living LLC | Community/Behavioral Health | 30 Hazel Ter Ste 20, Woodbridge, CT 06525-2240 | 2019-06-13 |
| 1417412818 | Perseverance Counseling Services LLC | Community/Behavioral Health | 1376 Old Bridge Rd # 101-2, Woodbridge, VA 22192-2708 | 2019-02-10 |
| 1467966739 | Clotilda Choh | Community/Behavioral Health | 4740 Pearson Dr, Woodbridge, VA 22193-5413 | 2017-11-25 |
| 1710432653 | Sucess Matters, LLC | Community/Behavioral Health | 14071 Big Crest Ln, 208, Woodbridge, VA 22191-5573 | 2016-08-21 |
| 1508215542 | Cece Counseling, LLC | Community/Behavioral Health | 19b Hazel Ter, Woodbridge, CT 06525-2209 | 2016-06-09 |
| 1679954630 | The Arc Middlesex County | Community/Behavioral Health | 114 Main St Ste C, Woodbridge, NJ 07095-2820 | 2015-06-16 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1033512199 | About Change, LLC | Community/Behavioral Health | 13190 Centerpointe Way, Woodbridge, VA 22193-5286 | 2014-10-03 |
| 1760828321 | Tiny Tadpoles Behavioral Services, LLC | Community/Behavioral Health | 14060 Big Crest Ln Apt 403, Woodbridge, VA 22191-5537 | 2013-05-21 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 06525 |
Please comment or provide details below to improve the information on CONNECTICUT PSYCHIATRIC & WELLNESS CENTER.
| 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.