ELYSE KIRSCHBLUM (NPI# 1316015464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316015464 |
| Entity Type | Individual |
| Full Name | ELYSE KIRSCHBLUM |
| Credential | MA CCC-A |
| Practice Address |
36 Watson St Willimantic CT 06226-2122 |
| Mailing Address |
79 Wawecus St Norwich CT 06360-2160 |
| Practice Telephone | 8604560287 |
| Practice Fax Number | 8604563532 |
| Mailing Telephone | 8608866610 |
| Mailing Fax Number | 8608866664 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 000208 | CT | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 000208 | CT | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1316015464 | 05 |
| Street Address |
36 WATSON ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558312074 | William Thomas Culviner | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-05-12 |
| 1861560922 | Eastern Connecticut Ear, Nose & Throat PC | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-11-30 |
| 1285702324 | William Marshall | Audiologist | 36 Watson St, Willimantic, CT 06226-2122 | 2006-11-30 |
| 1942236989 | Steven J Green | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| 1184650285 | Stephen M Rouse | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| 1588690374 | Jerilyn S Allen | Otolaryngology | 36 Watson St, Willimantic, CT 06226-2122 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285702324 | William Marshall | Audiologist | 36 Watson St, Willimantic, CT 06226-2122 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586641 | Natalie Silvia | Audiologist | 21 W Main St Fl 3, Waterbury, CT 06702-2013 | 2020-07-27 |
| 1598380404 | Michael Figueiredo | Audiologist | 72 Jones Hollow Rd, Marlborough, CT 06447-1141 | 2020-06-16 |
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1104465673 | Julia Davis | Audiologist | 911 State Street, State Street Health Services, New Haven, CT 06511-3929 | 2020-01-02 |
| 1295394484 | Amber Waitcus Pickett | Audiologist | 146 Hazard Ave Ste 204, Enfield, CT 06082-4566 | 2019-06-11 |
| 1336602226 | Shannon Marie O'loughlin | Audiologist | Crec-soundbridge, 123 Progress Drive, Wethersfield, CT 06109-0610 | 2019-04-09 |
| 1679050744 | Noelle Marie Delorme | Audiologist | U-1085 Bolton Road, Storrs, CT 06269-0001 | 2018-07-23 |
| 1780178350 | Bethany Wittman | Audiologist | 988 Silas Deane Highway, Wethersfield, CT 06109 | 2018-06-18 |
| 1063905610 | Samantha N Hauser | Audiologist | 22 Tompkins St Ste 1, Waterbury, CT 06708-1496 | 2018-06-08 |
| 1821500703 | Abby Hill Smith | Audiologist | 2600 Post Rd Ste 2, Southport, CT 06890 | 2017-10-31 |
| Find all providers with the same taxonomy | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
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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.