EVANGELINA CHAN (NPI# 1245576248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245576248 |
| Entity Type | Individual |
| Full Name | EVANGELINA CHAN |
| Other Name | EVANGELINA NG |
| Credential | MSW,LCSW |
| Practice Address |
46 Albion St Bridgeport CT 06605-2602 |
| Mailing Address |
4 W 125th St Fl 2 New York NY 10027-4575 |
| Practice Telephone | 2033306000 |
| Practice Fax Number | 2033306008 |
| Mailing Telephone | 2129425615 |
| Mailing Fax Number | 2126822613 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
081696-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004236148 | 05 | |
| CT | LICENSE | 008301 | 01 |
| Street Address |
46 ALBION ST |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06605-2602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801898804 | Jose A Camacho-pantoja | Psychiatry & Neurology | 46 Albion St, Southwest Community Health Center, Inc, Bridgeport, CT 06605-2602 | 2005-08-10 |
| 1790302933 | Kelly Yorio | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2020-07-04 |
| 1316564396 | Catherine Marie Howe | Registered Nurse | 46 Albion St, Bridgeport, CT 06605-2602 | 2020-06-25 |
| 1275178261 | Anna Marie Washington | Social Worker | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-11-13 |
| 1144876608 | Jessie Gay | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-08-12 |
| 1881248136 | Ntohmabi Ndingwan | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-07-25 |
| 1548813090 | Nikki Marie Carino | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-07-23 |
| 1235790296 | Hudson I Hector | Dental Hygienist | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-06-20 |
| 1235603044 | Katherine Esaw | Social Worker | 46 Albion St, Bridgeport, CT 06605-2602 | 2019-01-15 |
| 1013484088 | Samantha Mraz | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497312276 | Stacy-ann Thompson-grant | Social Worker | 170 Bennet T Street, Bridgeport, CT 06605 | 2019-05-28 |
| 1720502149 | Sheree Amankwah | Counselor | 170 Bennett Street, Bridgeport, CT 06605 | 2017-07-27 |
| 1417477324 | Aracelis Robertson | Case Manager/Care Coordinator | 1646 Fairfield Avenue, 3rd Floor, Bridgeport, CT 06605 | 2017-06-21 |
| 1699158170 | Cortney Davis | Physician Assistant | 3250 Fairfield Ave, Unit 217, Bridgeport, CT 06605 | 2015-07-02 |
| 1083020051 | Douglas Mccoy | Nurse Practitioner | 46 Albion St., Bridgeport, CT 06605 | 2014-07-10 |
| 1932513785 | Hallie Claire Riggs | Social Worker | 1730 State St Ext, Bridgeport, CT 06605 | 2014-06-19 |
| 1831518513 | Yvonne Booy | Counselor | 46 Albion Street, Bridgeport, CT 06605 | 2014-04-10 |
| 1760556955 | Joel W Allen | Obstetrics & Gynecology | 625 Clinton Ave, Bridgeport, CT 06605 | 2006-11-20 |
| 1316046428 | Allen P Schlein | Orthopaedic Surgery | 650 Clinten Avenue, Bridgeport, CT 06605 | 2006-09-22 |
| 1336127984 | Hancock Pharmacy | Pharmacy | 1557 Fairfield Ave, Bridgeport, CT 06605 | 2006-01-04 |
| Find all providers in zip 06605 | ||||
| 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 |
|---|---|---|---|---|
| 1871749937 | Michele J Feinberg | Psychiatry & Neurology | 982 E Main St, Bridgeport, CT 06608 | 2008-08-08 |
| 1396806360 | Mary Catherine White | Psychiatry & Neurology | 180 Fairfield Ave, Bridgeport, CT 06604-4252 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649667106 | Ayodola Adigun | Psychiatry & Neurology | 200 Broad St Apt 2214, Stamford, CT 06901-2070 | 2015-04-22 |
| 1801209952 | Oscar A Gerdner | Psychiatry & Neurology | 167 Old Post Rd, Southport, CT 06890-1395 | 2014-06-06 |
| 1194165720 | H and B Quality Medical Care LLC | Psychiatry & Neurology | 2 Ivy Brook Rd Ste 120, Shelton, CT 06484-6416 | 2013-06-27 |
| 1659710242 | Ibrahim N. Orgun | Psychiatry & Neurology | 44 Craigemore Cir, Avon, CT 06001-3417 | 2013-06-18 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
| 1689972382 | Satwant Ahluwalia | Psychiatry & Neurology | 13 Woods Way, Redding, CT 06896-3200 | 2011-03-03 |
| 1962647842 | Pamela Edie Hoffman | Psychiatry & Neurology | 230 S Frontage Rd # G112, New Haven, CT 06519-1124 | 2008-12-08 |
| 1649423567 | Susan Jane Finkelstein | Psychiatry & Neurology | 3 Sylvan Road South, Westport, CT 06880 | 2008-10-23 |
| 1205083359 | Robert Khalil | Psychiatry & Neurology | 7 Old Sherman Tpke Ste 102, Danbury, CT 06810-4174 | 2008-08-20 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06605 |
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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.