DR. RAFAEL MORA DE JESUS (NPI# 1366503906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366503906 |
| Entity Type | Individual |
| Full Name | DR. RAFAEL MORA DE JESUS |
| Other Name | DR. RAFAEL MORA |
| Credential | PH.D |
| Practice Address |
210 Wethersfield Ave Hartford CT 06114-1113 |
| Practice Telephone | 8602960094 |
| Practice Fax Number | 8602061184 |
| Mailing Telephone | 8602960094 |
| Mailing Fax Number | 8602061184 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2014-07-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 001877 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004132700 | 05 |
| Street Address |
210 WETHERSFIELD AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06114-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992249080 | Nancy Elizabeth Oporto-brown | Social Worker | 210 Wethersfield Ave, Hartford, CT 06114-1113 | 2016-12-08 |
| 1831327816 | Lashanda Beatrice Harvey | Psychologist | 210 Wethersfield Ave, Hartford, CT 06114-1113 | 2009-06-29 |
| 1528296985 | Reinaldo Oquendo | Social Worker | 210 Wethersfield Ave, Hartford, CT 06114-1113 | 2009-06-24 |
| 1891989026 | Hartford Psychological Services, LLC | Social Worker | 210 Wethersfield Ave, Hartford, CT 06114-1113 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164912846 | Ann-marie Brown | Counselor | One Congress Street, Suite 210, Hartford, CT 06114 | 2018-05-17 |
| 1154847044 | Na Won Lee | Dentist | 191 Franklin Ave., Care Dental Center, Hartford, CT 06114 | 2017-08-22 |
| 1386188522 | Poised Ondemand | Case Management | 41 Bond Street, Apt 3w, Hartford, CT 06114 | 2016-12-07 |
| 1619377348 | Morgan Anamoah Arhin | Social Worker | 331 Wethersfield Avenue, The Village for Families & Children, Inc., Hartford, CT 06114 | 2014-08-29 |
| 1972835254 | Eduardo Rosa | Counselor | 90 Webster Street, Hartford, CT 06114 | 2010-02-11 |
| 1134314651 | Ellen R Bent | Counselor | 407 Wethersfield Avenue, Hartford, CT 06114 | 2007-09-07 |
| 1124241963 | Hemal Vaishnav | Physical Therapist | 419 Franklin Avenue, Hartford, CT 06114 | 2007-04-10 |
| 1124143003 | Nalini Y Masih | Pathology | Disability Determination Services, 309 Wawarme Ave, Hartford, CT 06114 | 2007-03-20 |
| 1720121122 | Virginia Howell Rittner | Pediatrics | Ssa, 309 Wawarme Ave, Hartford, CT 06114 | 2007-02-15 |
| 1851432355 | Maybelle E Mercado | Counselor | 901 Wethersfield Ave 2nd Floor, Suite 2l, Hartford, CT 06114 | 2007-02-09 |
| Find all providers in zip 06114 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386078442 | Rocio Chang-angulo | Psychologist | 2074 Park St Ste 203, Hartford, CT 06106-2060 | 2013-08-26 |
| 1679632525 | Michael David Kahn | Psychologist | 660 Prospect Avenue, Hartford, CT 06105 | 2006-12-07 |
| 1609946581 | Deborah Ann Doherty | Psychologist | 639 Prospect Ave, Hartford, CT 06105-4276 | 2006-11-08 |
| 1023195864 | Deborah Jean Stack | Psychologist | 682 Prospect Avenue, Hartford, CT 06105 | 2006-11-01 |
| 1386661841 | Elizabeth Leah Vitale | Psychologist | 682 Prospect Ave., Hartford, CT 06105-4238 | 2006-07-17 |
| 1922074343 | Kimberly M. Daniels | Psychologist | 682 Prospect Ave, Hartford, CT 06105-4238 | 2006-02-25 |
| 1245866623 | Rachel Tirnady | Psychologist | 76 New Britain Ave, Hartford, CT 06106-3305 | 2020-03-18 |
| 1427696202 | Kimberly M Daniels LLC | Psychologist | 682 Prospect Ave, Hartford, CT 06105-4238 | 2019-12-12 |
| 1235784372 | Kimberly Toby Stevens | Psychologist | 200 Retreat Ave, Hartford, CT 06114 | 2019-08-06 |
| 1811541410 | Travis Sain | Psychologist | 200 Retreat Ave, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2019-07-31 |
| Find all providers in HARTFORD | ||||
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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.