DR. SANDRA P BOLTAX-STERN (NPI# 1184656951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184656951 |
| Entity Type | Individual |
| Full Name | DR. SANDRA P BOLTAX-STERN |
| Credential | MD |
| Practice Address |
78 Ansonia Rd Woodbridge CT 06525-2502 |
| Practice Telephone | 2033873403 |
| Mailing Telephone | 2033873403 |
| Mailing Fax Number | 2033879125 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2011-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
CT11608 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
CT11608 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
CT11608 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
78 ANSONIA RD |
| City | WOODBRIDGE |
| State | CT |
| Zip Code | 06525-2502 |
| 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 | 364SP0810X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427175355 | Joan Kearney | Clinical Nurse Specialist | 94 N Branford Rd, Branford, CT 06405-2811 | 2007-03-24 |
| City | WOODBRIDGE |
| Zip Code | 06525 |
Please comment or provide details below to improve the information on DR. SANDRA P BOLTAX-STERN.
| 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.