NICHOLAS THOMAS KOLOSKY


Address: 129 Sea Green Dr, Berlin, CT 06037-4095
Phone: 8609895662

NICHOLAS THOMAS KOLOSKY (NPI# 1194349738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194349738
Entity Type Individual
Full Name NICHOLAS THOMAS KOLOSKY
Credential BA
Practice Address 129 Sea Green Dr
Berlin
CT 06037-4095
Mailing Address 74 East St
Plainville
CT 06062-2367
Practice Telephone 8609895662
Enumeration Date 2020-05-29
Last Update Date 2020-05-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 129 SEA GREEN DR
City BERLIN
State CT
Zip Code 06037-4095

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1851738280 Michelle Amenta Speech-Language Pathologist 95 S Ridge Ln, Berlin, CT 06037 2013-05-24
1881939452 Martin Dacunha Social Worker 38 Smith St, Bldg 804, Niantic, CT 06037 2012-12-07
1194083667 Stanley Peter Filewicz Jr. Orthopaedic Surgery 1224 Farmington Ave., Unit A, Berlin, CT 06037 2012-05-02
1710269519 Marie Wallace Speech-Language Pathologist 077 Worthington Point Road, Berlin, CT 06037 2011-09-16
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1710248315 Jaime Farrell Coates Counselor 378 Schooner Ln, Berlin, MD 21811 2012-05-31
1033416102 Sharanda Williamson Counselor 128 Berlin Cross Keys Rd, Berlin, NJ 08009-9201 2011-02-24
1487960712 Terry D Maxfield Jr. Counselor 82 Eastview Lane, Ste 3, Berlin, VT 05602-0000 2010-08-24
1245471952 Wanda Siena Blanco Counselor 16 S Main St Ste D, Berlin, MD 21811-1467 2009-03-11
1629125299 Ann-margaret Moise Counselor 10514 Racetrack Rd Ste C, Berlin, MD 21811-3241 2007-01-04
1184797128 Maria Coviello Counselor 3 Twelfth St, Berlin, NH 03570-3860 2006-11-16
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Competitor

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City BERLIN
Zip Code 06037

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Dataset Information

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.

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