WOODLANDS PSYCHOTHERAPY GROUP (NPI# 1316497423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316497423 |
| Entity Type | Organization |
| Organization Name | WOODLANDS PSYCHOTHERAPY GROUP |
| Practice Address |
116 Mile Common Rd Easton CT 06612-1506 |
| Practice Telephone | 2035263215 |
| Mailing Telephone | 2035263215 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |
| Authorized Official Name | MARY DOBSON (OWNER) |
| Authorized Official Telephone | 2035263215 |
| Authorized Official Credential | MA, LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 001507 | CT | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | WOODLANDS PSYCHOTHERAPY GROUP LLC | 116 Mile Common Rd, Easton, CT 06612 |
| Street Address |
116 MILE COMMON RD |
| City | EASTON |
| State | CT |
| Zip Code | 06612-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235779455 | Tara Gans | Marriage & Family Therapist | 116 Mile Common Rd, Easton, CT 06612-1506 | 2020-01-15 |
| 1780225615 | Laura Geronemus | Social Worker | 116 Mile Common Rd, Easton, CT 06612-1506 | 2019-10-02 |
| 1245895812 | Kristy Rancourt | Counselor | 116 Mile Common Rd, Easton, CT 06612-1506 | 2019-05-08 |
| 1306361514 | Megan J Freyer | Social Worker | 116 Mile Common Rd, Easton, CT 06612-1506 | 2017-08-08 |
| 1770028383 | Nicole Ferri | Dietitian, Registered | 116 Mile Common Rd, Easton, CT 06612-1506 | 2017-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386029247 | Fairfield County Senior Services, L.L.C. | Adult Companion | 52 Marsh Rd, Easton, CT 06612 | 2015-07-21 |
| 1821142662 | Courtney Griffin Mase | Pharmacist | 50 Fieldstone Dr, Easton, CT 06612-1016 | 2007-01-22 |
| 1578791745 | Marina Vasilievna Polskaya | Internal Medicine | 65 Hunting Ridge Rd, Easton, CT 06612-1018 | 2009-06-26 |
| 1194835231 | Madeleine B Moller | Social Worker | 260 Maple Rd, Easton, CT 06612-1033 | 2006-08-30 |
| 1124313630 | Lawrence Beninati | Pharmacist | 151 North St, Easton, CT 06612-1039 | 2011-06-13 |
| 1871697946 | Evangeline Santos Specht | Internal Medicine | 60 Sky Line Dr, Easton, CT 06612-1056 | 2006-09-11 |
| 1881704005 | Millicent Chace Leuba | Marriage & Family Therapist | 910 Sport Hill Rd, Easton, CT 06612-1250 | 2006-08-30 |
| 1760011043 | Lauren Cusick | Student in an Organized Health Care Education/Training Program | 12 Canterbury Ln, Easton, CT 06612-1263 | 2020-04-07 |
| 1023465374 | Max Kalkstein | Acupuncturist | 11 Canterbury Ln, Easton, CT 06612-1263 | 2016-05-17 |
| 1578196259 | Harry Migenes | Social Worker | 193 Westport Rd, Easton, CT 06612-1329 | 2020-02-20 |
| Find all providers in zip 06612 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306397344 | Channel Marker, Inc. | Community/Behavioral Health | 8865 Glebe Park Drive, Unit 2, Easton, MD 21601-7069 | 2016-10-14 |
| 1679988661 | Chor Youth and Family Services, Inc. | Community/Behavioral Health | 25th and Lehigh St., Easton, PA 18042-3851 | 2014-06-27 |
| 1609099837 | Colonial Intermediate Unit 20 | Community/Behavioral Health | 6 Danforth Dr, Easton, PA 18045-7899 | 2007-04-10 |
| 1861013948 | Colonial Intermediate Unit 20 | Community/Behavioral Health | 6 Danforth Dr, Easton, PA 18045-7820 | 2020-04-30 |
| 1861012254 | New Day- In Home Treatment & Supportive Services, Inc. | Community/Behavioral Health | 1733 Washington Blvd, Easton, PA 18042-4622 | 2020-04-25 |
| 1114565694 | Community Behavioral Health, LLC | Community/Behavioral Health | 8614 Ocean Gtwy, Easton, MD 21601-7217 | 2019-12-16 |
| 1578101051 | Community Behavioral Health LLC | Community/Behavioral Health | 8614 Ocean Gtwy, Easton, MD 21601-7217 | 2019-12-16 |
| 1174161087 | Community Behavioral Health, LLC | Community/Behavioral Health | 8614 Ocean Gtwy, Easton, MD 21601-7217 | 2019-12-11 |
| 1629454442 | Southeastern Pennsylvania Mental Health Services, Inc. | Community/Behavioral Health | 3735 Nazareth Road, Suite 201, Easton, PA 18042 | 2015-08-04 |
| 1568869840 | Talbot County Health Department Addictions Program | Community/Behavioral Health | 100 S Hanson St, Easton, MD 21601-2920 | 2014-12-02 |
| Find all providers in EASTON | ||||
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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.