MR. MICHAEL DUTKO (NPI# 1265741821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265741821 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL DUTKO |
| Other Name | MR. MICHAEL DUTKO |
| Credential | LPC,LADC |
| Practice Address |
230 Frost Rd Waterbury CT 06705-2154 |
| Practice Telephone | 2038190789 |
| Mailing Telephone | 2038190789 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2017-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000844 | CT | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
002151 | CT | Behavioral Health & Social Service Providers |
| Street Address |
230 FROST RD |
| City | WATERBURY |
| State | CT |
| Zip Code | 06705-2154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760914261 | Suzanne Taluy | Social Worker | 230 Frost Rd, Waterbury, CT 06705-2154 | 2017-04-03 |
| 1992255962 | Meghan Benjamin | Counselor | 230 Frost Rd, Waterbury, CT 06705-2154 | 2016-10-13 |
| 1699133157 | Robin Lincoln | Social Worker | 230 Frost Rd, Unit B, Waterbury, CT 06705-2154 | 2016-01-29 |
| 1578967014 | Amanda Tangney | Counselor | 230 Frost Rd, Waterbury, CT 06705-2154 | 2014-10-13 |
| 1568866002 | Kara Boles | Counselor | 230 Frost Rd, Unit B, Waterbury, CT 06705-2154 | 2014-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1912495797 | Jennie Webb | Physician Assistant | 2247 E Main St Ste 103, Waterbury, CT 06705 | 2018-04-26 |
| 1558886671 | Macaela Cirish | Nurse Practitioner | 3801 East Main Street, Second Floor, Waterbury, CT 06705 | 2017-08-09 |
| 1033648464 | Mahwish Makhdoom | Pharmacist | 464 Reidville Drive, Waterbury, CT 06705 | 2017-06-08 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1407272107 | Cori Capuano | Counselor | 230 Frost Rd Unit B, Waterbury, CT 06705 | 2014-03-05 |
| 1528403177 | Daniel G. Brennan | Dentist | 2457 East Main St, Waterbury, CT 06705 | 2013-05-08 |
| 1538419742 | Jenna Elizabeth Partola | Physician Assistant | 1327 Meriden Rd, Wolcott, CT 06705 | 2012-09-14 |
| 1710244785 | Mirta Sabino | Counselor | 126 Stonefield Dr, Waterbury, CT 06705 | 2012-04-16 |
| 1578849519 | Uday Shankar | Internal Medicine | 3801 E Main St Fl 2, Waterbury, CT 06705 | 2011-10-21 |
| Find all providers in zip 06705 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725510 | Bianca Mcdaniel | Counselor | 1652 Meriden Rd Apt 22, Waterbury, CT 06705-3922 | 2020-09-20 |
| 1902426232 | Jesse D Miller | Counselor | 62 Newton Ter, Waterbury, CT 06708-1919 | 2020-04-16 |
| 1770116832 | Laurie Joy Sharp | Counselor | Mindscapes Counseling LLC, 230 Frost Rd, Waterbury, CT 06705-2154 | 2020-02-18 |
| 1124658489 | Elaina Nicole Layden | Counselor | 276 Highland Ave Ste 2n, Waterbury, CT 06708-3022 | 2020-01-24 |
| 1063054666 | Malina Yuna Choi | Counselor | 255 Bank St Fl 4, Waterbury, CT 06702-2219 | 2019-10-15 |
| 1093205692 | Footsteps LLC | Counselor | 1059 Huntingdon Ave, Waterbury, CT 06704-1402 | 2018-05-18 |
| 1316486889 | Cornerstone Counseling Center | Counselor | 106 Deepwood Dr, Waterbury, CT 06708-2907 | 2017-02-16 |
| 1356886014 | Kathryn Gelinas | Counselor | 60 N Main St Fl 3, Waterbury, CT 06702-1444 | 2017-01-04 |
| 1376901124 | Jesse Mancinone | Counselor | 55 Waterville St, Waterbury, CT 06710-1846 | 2016-02-08 |
| 1356742662 | Waleska Castillo | Counselor | 672 Wilson St, Waterbury, CT 06708-4131 | 2014-09-07 |
| Find all providers in WATERBURY | ||||
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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.