DR. MICHELLE BOBULINSKI


Address: Hhc Chase Movement Disorders Center, Ayers Neuroscience, 35 Talcottville Road Suite 6, Vernon, CT 06066
Phone: 8608706385

DR. MICHELLE BOBULINSKI (NPI# 1346245420) 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) 1346245420
Entity Type Individual
Full Name DR. MICHELLE BOBULINSKI
Credential PH.D.
Practice Address Hhc Chase Movement Disorders Center, Ayers Neuroscience
35 Talcottville Road Suite 6
Vernon
CT 06066
Mailing Address 1202 Larson Dr
Danbury
CT 06810-7379
Practice Telephone 8608706385
Practice Fax Number 8608700622
Mailing Telephone 2037433973
Enumeration Date 2005-06-16
Last Update Date 2019-07-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist CT002359 CT Behavioral Health & Social Service Providers
N 174400000X Specialist CT002359 CT Other Service Providers
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
CT002359 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT AETNA 7226563 01
CT ANTHEM 060002359CT01 01

Office Location

Street Address HHC CHASE MOVEMENT DISORDERS CENTER, AYERS NEUROSCIENCE
35 TALCOTTVILLE ROAD SUITE 6
City VERNON
State CT
Zip Code 06066

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659992204 Kumeh Bestman Social Worker 41 Jeff Road, Vernon, CT 06066 2020-05-05
1114567922 Irina Bratan Nurse Practitioner 35 Talcottvile Road, Vernon, CT 06066 2020-01-09
1457833899 Jessica Elizabeth Navallil Pharmacist 188 Union Street, Vernon, CT 06066 2018-09-02
1528557709 Andre Spence Counselor 66 Orchard St, Vernon, CT 06066 2018-05-03
1992207468 Myeyedr Optometry of Connecticut, LLC Optometrist 400-1 Talcottville Rd, Vernon, CT 06066 2018-03-01
1811425754 Patricia Cosgrove Barresi Occupational Therapy Assistant 1253 Hartford Turnpike, Vernon, CT 06066 2017-05-23
1922539592 Ctuc01 Clinic/Center 179 Talcottville Rd, Vernon, CT 06066 2017-03-24
1558804070 First Choice Health Centers, Inc. Clinic/Center 94 Union Sreet, 2nd Floor, Vernon, CT 06066 2016-12-01
1235685504 Lotus Behavioral Consultation Day Training, Developmentally Disabled Services 3 Raymond Street, Vernon, CT 06066 2016-08-28
1891179537 Heather Deal Nurse Practitioner 347 Hartford Turnpike, Vernon, CT 06066 2015-07-13
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285880195 Jennifer Ann Caruso Clinical Neuropsychologist 35 Talcottville Rd Ste 6, Hartford Hospital Movement Disorders Center, Vernon, CT 06066-5261 2008-08-12
1619586815 Claire-maire Varga Clinical Neuropsychologist 35 Talcottville Rd Ste 6, Vernon, CT 06066-5261 2020-07-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548761224 Shumita Roy Clinical Neuropsychologist 18 N Main St Fl 2, West Hartford, CT 06107-1970 2018-02-27
1992216790 Brisman Associates In Neuropsychology, Pllc Clinical Neuropsychologist 433 S Main St Ste 225, West Hartford, CT 06110-2812 2017-10-19
1083157556 Eva Troyb Clinical Neuropsychologist 26 Hawks Lndg, Amston, CT 06231-1659 2016-11-30
1669824702 Martin D Oliveira Psy D LLC Clinical Neuropsychologist 10 N Main St Ste 1, West Hartford, CT 06107-1968 2016-07-12
1497151245 Connecticut Neuropsychological Associates, LLC Clinical Neuropsychologist 40 Connecticut Ave, Norwich, CT 06360-1502 2014-11-06
1750795647 James W. Pier, Ph.d., LLC Clinical Neuropsychologist 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 2014-06-18
1922424175 Psych Solutions LLC Clinical Neuropsychologist 2795 Albany Ave, West Hartford, CT 06117-1804 2014-03-12
1194157313 Ginger Mills Clinical Neuropsychologist 623 Newfield Ave, Stamford, CT 06905-3302 2013-07-30
1144561051 Western Connecticut Behavioral Health Clinical Neuropsychologist 828 Federal Rd, 2nd Floor, Brookfield, CT 06804-1830 2013-03-04
1043569288 David Porrino Clinical Neuropsychologist 85 Old Kings Hwy N Fl 2, Darien, CT 06820-4732 2012-09-04
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Competitor

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City VERNON
Zip Code 06066

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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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