MOJDEH HEIDARI (NPI# 1306300397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306300397 |
| Entity Type | Individual |
| Full Name | MOJDEH HEIDARI |
| Credential | FNP |
| Practice Address |
360 Bloomfield Ave Windsor CT 06095-2700 |
| Practice Telephone | 8607075392 |
| Mailing Telephone | 8607075392 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 106074 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | RN | 106074 | 01 |
| Street Address |
360 BLOOMFIELD AVE |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-2700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255342556 | Sean Timothy Brennan | Physician Assistant | 360 Bloomfield Ave, Suite 209, Windsor, CT 06095-2700 | 2006-08-11 |
| 1942818968 | Victoria Dionne | Behavior Technician | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2020-07-15 |
| 1346875689 | Indigo Counseling Services LLC | Counselor | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2020-03-06 |
| 1245896687 | Heather Morgan Haas | Behavioral Analyst | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2019-05-10 |
| 1235621236 | Trudy Tamara Pearson | Social Worker | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2018-06-05 |
| 1801332812 | Clark Counseling Services LLC | Counselor | 360 Bloomfield Ave, Suite 301, Windsor, CT 06095-2700 | 2017-01-13 |
| 1922470772 | Purple Hearts Home Care LLC | Exclusive Provider Organization | 360 Bloomfield Ave, Suite 301, Windsor, CT 06095-2700 | 2015-10-20 |
| 1366821886 | Love and Caring Home Care Agency LLC | Home Health | 360 Bloomfield Ave, Windsor, CT 06095-2700 | 2015-05-29 |
| 1588055818 | Velanda Samuel | Social Worker | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2015-02-09 |
| 1871982967 | Breakthrough Clinical Services | Social Worker | 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 | 2015-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023582087 | Dina Yvonne Ozols | Family Medicine | 121-2224 Walker Rd, Windsor, ONTARIO N8W 5L7 | 2019-01-13 |
| 1073929881 | Ashley Cook | Family Medicine | 2710 Howard Ave, Windsor, ONTARIO N8X 3X5 | 2014-07-01 |
| 1952563231 | Jacqueline L Gerhart | Family Medicine | 4131 Meridian Lane, Windsor, WI 53278-0864 | 2008-06-27 |
| 1720209372 | William Goddard Harris | Family Medicine | 8 Alford Drive, Windsor, CT 06095-1629 | 2007-05-01 |
| 1639227184 | Gilbert D Arenas | Family Medicine | 104 Rhodes Ave, Windsor, NC 27983-9656 | 2007-01-08 |
| 1417025701 | Barbara W Franzen | Family Medicine | 404 Gordon Ct, Windsor, CA 95492 | 2006-12-02 |
| 1033219639 | Kathleen Nugent Mueller | Family Medicine | 61 Bloomfield Ave, Holistic Health Partnering, Windsor, CT 06095-1915 | 2006-09-23 |
| 1477564946 | Jamila M Benn | Family Medicine | 8465 Old Redwood Hwy Ste 320, Windsor, CA 95492 | 2006-08-10 |
| 1538173141 | Elizabeth Flower | Family Medicine | 6580 Hembree Ln Ste 270, Windsor, CA 95492 | 2006-07-28 |
| 1508821273 | Lawrence James Williamson | Family Medicine | 911 Medical Center Plaza, Suite 23, Windsor, CA 95492-7817 | 2006-04-18 |
| Find all providers in WINDSOR | ||||
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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.