DR. JOSE MANUEL PAEZ (NPI# 1184153447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184153447 |
| Entity Type | Individual |
| Full Name | DR. JOSE MANUEL PAEZ |
| Credential | MD |
| Practice Address |
230 S Frontage Rd New Haven CT 06519-1124 |
| Practice Telephone | 2038485599 |
| Mailing Telephone | 2038485599 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2020-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
66365 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225491129 | Jose Paez | Speech-Language Pathologist | 7400 Nw 21st Ave, 101, Miami, FL 33147-5645 | 2016-03-30 |
| Street Address |
230 S FRONTAGE RD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932197878 | James F Leckman | Psychiatry & Neurology | 230 S Frontage Rd, Sterling Hall of Medicine - I-wing, New Haven, CT 06519-1124 | 2005-10-13 |
| 1992360903 | Amanda Joy Calhoun | Student in an Organized Health Care Education/Training Program | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-05-06 |
| 1306400858 | Andrew Douglas Sheldon | Student in an Organized Health Care Education/Training Program | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-04-30 |
| 1588126379 | Monica Barreto | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-04-02 |
| 1457812455 | Kimberly Ho Misiaszek | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-03-31 |
| 1417418708 | Laura Anderson Kirby | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-03-28 |
| 1477059244 | Kathryn Giuseppone | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2018-04-02 |
| 1245733641 | Rebecca Kamody | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2018-03-12 |
| 1255867255 | Robert Labril | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-05-11 |
| 1376077339 | Brent Penque | Psychiatry & Neurology | 230 S Frontage Rd, Child Study Center Atn: Tanya Colon, New Haven, CT 06519-1124 | 2017-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962647842 | Pamela Edie Hoffman | Psychiatry & Neurology | 230 S Frontage Rd # G112, New Haven, CT 06519-1124 | 2008-12-08 |
| 1417155912 | Paul Saad El-fishawy | Psychiatry & Neurology | 291 Whitney Ave Ste 404, New Haven, CT 06511-3765 | 2007-07-05 |
| 1528261294 | Guita Epstein Wilf | Psychiatry & Neurology | 646 George St, New Haven, CT 06511-5322 | 2007-06-08 |
| 1902921380 | Cornell Scott Hill Health Corporation | Psychiatry & Neurology | 400-428 Columbus Avenue, New Haven, CT 06519-1233 | 2007-03-21 |
| 1568578227 | Margo L. Fugate | Psychiatry & Neurology | 226 Dixwell Avenue, Cfg-dixwell, New Haven, CT 06511-3456 | 2006-08-22 |
| 1912930033 | Pieter Joost Van Wattum | Psychiatry & Neurology | 93 Edwards St, New Haven, CT 06511-3933 | 2006-07-09 |
| 1487696282 | Eric S Millman | Psychiatry & Neurology | 64 Trumbull St, New Haven, CT 06510-1028 | 2006-06-13 |
| 1932197878 | James F Leckman | Psychiatry & Neurology | 230 S Frontage Rd, Sterling Hall of Medicine - I-wing, New Haven, CT 06519-1124 | 2005-10-13 |
| 1255867255 | Robert Labril | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-05-11 |
| 1366995565 | Maryam Zulfiqar | Psychiatry & Neurology | 20 York St, New Haven, CT 06510-3220 | 2016-07-25 |
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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.