BRENT PENQUE (NPI# 1376077339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376077339 |
| Entity Type | Individual |
| Full Name | BRENT PENQUE |
| Practice Address |
230 S Frontage Rd Child Study Center Atn: Tanya Colon New Haven CT 06519-1124 |
| Practice Telephone | 2037377129 |
| Mailing Telephone | 2037377129 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
63784 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
230 S FRONTAGE RD CHILD STUDY CENTER ATN: TANYA COLON |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932197878 | James F Leckman | Psychiatry & Neurology | 230 S Frontage Rd, Sterling Hall of Medicine - I-wing, New Haven, CT 06519-1124 | 2005-10-13 |
| 1992360903 | Amanda Joy Calhoun | Student in an Organized Health Care Education/Training Program | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-05-06 |
| 1306400858 | Andrew Douglas Sheldon | Student in an Organized Health Care Education/Training Program | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-04-30 |
| 1588126379 | Monica Barreto | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-04-02 |
| 1457812455 | Kimberly Ho Misiaszek | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-03-31 |
| 1417418708 | Laura Anderson Kirby | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2019-03-28 |
| 1477059244 | Kathryn Giuseppone | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2018-04-02 |
| 1245733641 | Rebecca Kamody | Psychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2018-03-12 |
| 1184153447 | Jose Manuel Paez | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-06-08 |
| 1255867255 | Robert Labril | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902330509 | Azim Momin Munivar | Psychiatry & Neurology | 300 George St Suite 901, Yale University Department of Psychiatry, New Haven, CT 06511 | 2017-04-20 |
| 1245761519 | Ryan Stephen O'dell | Psychiatry & Neurology | 300 George Street, Yale University Department of Psychiatry Suite 901, New Haven, CT 06511 | 2017-03-27 |
| 1457707333 | Daniel Salvatore Barron | Psychiatry & Neurology | 300 George Street, Suite 901, Yale University Department of Psychiatry, New Haven, CT 06511 | 2016-05-10 |
| 1548623093 | Sanya Virani | Psychiatry & Neurology | Va Ct Healthcare System, 950 Campbell Avenue, New Haven, CT 06516 | 2016-04-01 |
| 1326452434 | Ebony Dix | Psychiatry & Neurology | 20 York St Rm 226, New Haven, CT 06510 | 2014-06-17 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1104266428 | Sahil Munjal | Psychiatry & Neurology | 20 York St Fitkin 615, Ynhh, New Haven, CT 06510-3220 | 2013-07-01 |
| 1942583133 | Sacha Agrawal | Psychiatry & Neurology | 623 Whitney Avenue, Apt. 1, New Haven, CT 06511 | 2011-09-23 |
| 1487943114 | Brady John Heward | Psychiatry & Neurology | 1 Long Wharf Dr Ste 321, New Haven, CT 06511-5946 | 2011-04-04 |
| 1689984171 | Michael Joe Orlosky | Psychiatry & Neurology | 116 Court Street, Apt. 1209, New Haven, CT 06511 | 2010-10-18 |
| Find all providers in NEW HAVEN | ||||
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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.