MY CATHOLIC DOCTOR, P.L.L.C.


Address: 711 Silvermine Rd, New Canaan, CT 06840-4329
Phone: 3144356105

MY CATHOLIC DOCTOR, P.L.L.C. (NPI# 1396201307) 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) 1396201307
Entity Type Organization
Organization Name MY CATHOLIC DOCTOR, P.L.L.C.
Other Organization Name MYCATHOLICDOCTOR
Practice Address 711 Silvermine Rd
New Canaan
CT 06840-4329
Practice Telephone 3144356105
Mailing Telephone 3144356105
Mailing Fax Number 2035908644
Enumeration Date 2019-02-14
Last Update Date 2020-10-07
Authorized Official Name DR. KATHLEEN MARY BERCHELMANN (CEO)
Authorized Official Telephone 3144356105
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
MyCatholicDoctor Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
373 S Willow St, Manchester, NH 031035751 2035909360

Office Location

Street Address 711 SILVERMINE RD
City NEW CANAAN
State CT
Zip Code 06840-4329

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811594302 Matthew Estrade Counselor 711 Silvermine Rd, New Canaan, CT 06840-4329 2020-10-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346506060 Mary Fetchet Social Worker 11th, 161 Cherry Street, Voices of September, New Canaan, CT 06840 2012-04-06
1841514429 Todd L Anderson Physical Therapist 45 Grove Street, New Canaan, CT 06840 2010-03-25
1598098667 Catherine Leigh Beeson Dentist 208 South Ave, New Canaan, CT 06840 2009-09-08
1942451893 Breann Sara Erickson Dietitian, Registered 208 Valley Road, New Canaan, CT 06840 2008-10-08
1699987909 Vickie (victoria) Zupa Naturopath 172 East Ave, New Canaan, CT 06840 2007-05-07
1699890723 Philip Flemming Pacelli IIi Oral & Maxillofacial Surgery 166 Cherry Street, Suite A, New Canaan, CT 06840 2007-03-20
1528190121 Rachel Coder Matthews Social Worker 39 Selleck Place, New Canaan, CT 06840 2007-03-09
1598830234 Peter M Shutkin Internal Medicine 173 East Avenue, New Canaan, CT 06840 2006-11-21
1407932544 Sharon J Littzi Specialist Morse Court, New Canaan, CT 06840 2006-10-31
1508940966 Elizabeth J Granfield Social Worker 256 Park St, New Canaan, CT 06840 2006-10-24
Find all providers in zip 06840

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609884584 Alan Harold Morelli Pediatrics 183 Cherry Street, New Canaan, CT 06840 2006-08-04
1467424606 Jason M Davis Pediatrics 183 Cherry St, New Canaan, CT 06840-4820 2006-02-02
1407917131 New Canaan Pediatrics LLC Pediatrics 173 East Avenue, New Canaan, CT 06840 2006-12-13
1801963756 Harrison J Pierce Pediatrics 173 East Avenue, New Canaan, CT 06840 2006-11-29
1679640460 William T Flynn Pediatrics 173 East Avenue, New Canaan, CT 06840 2006-11-29
1790852598 Alyssa Newman Pediatrics 173 East Avenue, New Canaan, CT 06840 2006-11-29
1740357540 Eva Lillian Grunberg Pediatrics 173 East Avenue, New Canaan, CT 06840 2006-11-29
1063420941 Dorothy Ann Levine Pediatrics 183 Cherry Street, New Canaan, CT 06840 2006-08-04
1205844115 New England Pediatrics, LLP Pediatrics 183 Cherry St, New Canaan, CT 06840-4820 2006-08-04
1780692665 Rosemary Ellen Klenk Pediatrics 183 Cherry Street, New Canaan, CT 06840 2006-08-04
Find all providers in NEW CANAAN

Competitor

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City NEW CANAAN
Zip Code 06840

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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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