DR. RENEE S KOHANSKI


Address: 11 Main St, Mystic, CT 06355
Phone: 8603344576

DR. RENEE S KOHANSKI (NPI# 1336354109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336354109
Entity Type Individual
Full Name DR. RENEE S KOHANSKI
Credential M.D.
Practice Address 11 Main St
Mystic
CT 06355
Mailing Address 11 Main St
Mystic
CT 06355-3654
Practice Telephone 8603344576
Practice Fax Number 8558006850
Mailing Telephone 8603344576
Mailing Fax Number 8558006850
Enumeration Date 2007-05-14
Last Update Date 2018-08-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084F0202X Psychiatry & Neurology
Specialization: Forensic Psychiatry
038625 CT Allopathic & Osteopathic Physicians
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
038625 CT Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
130 New London Tpke, Norwich, CT 063602624 8608590006 8604435990
358 Montauk Avenue, New London, CT 063202645 8604431396 8558006850

Office Location

Street Address 11 MAIN ST
City MYSTIC
State CT
Zip Code 06355

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811514607 Julia Jean Polland Social Worker 11 Main St, Mystic, CT 06355-3654 2020-06-29
1467005736 Grounded Therapy & Coaching Social Worker 11 Main St, Mystic, CT 06355-3654 2019-07-16
1265090500 Glow Up Therapy Social Worker 11 Main St, Mystic, CT 06355-3654 2019-06-02
1760940175 Life Balance Counseling Ct, LLC Social Worker 11 Main St, Mystic, CT 06355-3654 2019-03-05
1518436138 Monarch Counseling Services Community/Behavioral Health 11 Main St, Mystic, CT 06355-3654 2018-11-14
1669906491 Joan Elise Forbes Social Worker 11 Main St, Mystic, CT 06355-3654 2017-04-19
1609265529 Jean Allbee-roberson Lmft LLC Marriage & Family Therapist 11 Main St, Suite 19, Mystic, CT 06355-3654 2015-01-15
1356668040 Cynthia Lou Masonjones Social Worker 11 Main St, 6, Mystic, CT 06355-3654 2010-04-21
1457590093 Kristi R Varisco Counselor 11 Main St, Suite 10-11, Mystic, CT 06355-3654 2009-02-04
1164692398 Jean E Allbee-roberson Marriage & Family Therapist 11 Main St, Suite 8, Mystic, CT 06355-3654 2008-03-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770076069 Brian Kristofer Owczarski Physical Therapist 80 Stonington Rd Ste A-3, Mystic, CT 06355 2018-06-11
1922554120 Kayla Nickerson Gauthier Marriage & Family Therapist 41 Williams Ave, Mystic, CT 06355 2016-08-28
1417351156 Lisa Pacifico Physical Therapist 44 Maritime Dive, Mystic, CT 06355 2014-10-09
1619386539 Jennifer Rock Occupational Therapist 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 2014-08-05
1346565843 Karen Lucille Hanscom Psychologist 47 Water St. #203, Mystic, CT 06355 2010-03-29
1346415627 Eldon Richard Kilpatrick Physical Therapy Assistant 186 Jerry Browne Rd, Mystic, CT 06355 2008-04-28
1760688931 Heather Elyse Geyer Physical Therapist 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 2007-06-25
1982728754 Falck Eye Center LLC Ophthalmology 35 Washington Street, Mystic, CT 06355 2007-03-19
1881724326 Richard Irwin Steinberg Dentist 117 Cow Hill Road, Mystic, CT 06355 2007-03-06
1992890362 Coastal Dermatology, P.C. Dermatology 55 Willow Street, Mystic, CT 06355 2006-10-03
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Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346859709 Andre Burey Md Pllc Psychiatry & Neurology 1051 Post Rd Ste 1, Darien, CT 06820-5436 2020-07-30
1245848670 Behavioral Wellness Partners Psychiatry & Neurology 167 Cherry St #101, Milford, CT 06460-3466 2020-07-22
1659905313 Restart Health and Wellness LLC Psychiatry & Neurology 1336 W Main St Ste 2a, Waterbury, CT 06708-3122 2020-03-02
1407410921 Dr. Katrina Furey, Md, LLC Psychiatry & Neurology 147 Durham Rd Ste 12ane, Madison, CT 06443-2675 2019-04-30
1063996221 Alexia Bajwa Cortella Psychiatry & Neurology 5 Wedgewood Ct, Newtown, CT 06470-1792 2018-09-23
1427536101 Mar Y Sol Mental Health Experts LLC Psychiatry & Neurology 50 Federal Rd Ste 1a, Danbury, CT 06810-6129 2018-08-03
1619470655 Becky Kreuzer Aprn, Pmhnp, LLC Psychiatry & Neurology 22 Pine St Ste 205, Bristol, CT 06010-6949 2018-03-15
1982104063 Carl Chi Psychiatry & Neurology 22 Goodrich Ln, Portland, CT 06480-1063 2018-02-15
1659808699 Psy-visions of Connecticut, LLC Psychiatry & Neurology 88 Main St S Ste B201, Southbury, CT 06488-2276 2017-05-22
1639605082 Neil Michael Kurtz Psychiatry & Neurology 165 Old Redding Road, Weston, CT 06883 2017-05-04
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Competitor

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City MYSTIC
Zip Code 06355

Improve Information

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Dataset Information

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.

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