DIANA CONGDON (NPI# 1407947179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407947179 |
| Entity Type | Individual |
| Full Name | DIANA CONGDON |
| Credential | APRN |
| Practice Address |
1844 Whitney Ave Ste 2 Hamden CT 06517 |
| Mailing Address |
1844 Whitney Ave Floor 2 Hamden CT 06517-1400 |
| Practice Telephone | 2034071310 |
| Mailing Telephone | 2034071310 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1495 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 4008405 | 05 |
| Street Address |
1844 WHITNEY AVE STE 2 |
| City | HAMDEN |
| State | CT |
| Zip Code | 06517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265073902 | Moira Mahon | Marriage & Family Therapist | 1844 Whitney Ave Ste 2, Hamden, CT 06517-1400 | 2019-10-03 |
| 1568003283 | Elizabeth Keliar Miller | Marriage & Family Therapist | 1844 Whitney Ave Ste 2, Hamden, CT 06517-1400 | 2019-10-03 |
| 1558926386 | Amanda Kedzior | Marriage & Family Therapist | 1844 Whitney Ave Ste 2, Hamden, CT 06517-1400 | 2019-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760844088 | Best Choice Home Health Care Inc | Community/Behavioral Health | 1840 State Streetr, Hamden, CT 06517 | 2016-03-25 |
| 1932474053 | John E. Fenn | Surgery | 200 Leeder Hill Drive, #2603, Hamden, CT 06517 | 2012-03-22 |
| 1053689489 | Wanda Bronstein | Physician Assistant | Internal Medicine of Greater New Haven, 1952 Whitney Ave, Hamden, CT 06517 | 2011-12-13 |
| 1033429972 | Heidi Outtrim | Counselor | 197 Haverford St, Hamden, CT 06517 | 2010-10-13 |
| 1265766950 | Alison E. Thurber | Social Worker | 120 Thornton Street, Hamden, CT 06517 | 2009-09-28 |
| 1487724118 | Regina J Magnetti | Social Worker | 103 Carleton St, Hamden, CT 06517 | 2006-11-09 |
| 1477535904 | Lori Kurgan Paragas | Podiatrist | 1952 Whitney Ave., 3rd Floor, Hamden, CT 06517 | 2005-11-18 |
| 1376056705 | Cassidy Lynne Jacobs | Physician Assistant | 1952 Whitney Ave Ste 8, Hamden, CT 06517 | 2017-11-07 |
| 1891207221 | Crystal Ann Tolpa | Occupational Therapist | 200 Leeder Hill Drive, Hamden, CT 06517 | 2017-10-25 |
| 1275929291 | Ct Family Foot Care and Surgery, LLC | Clinic/Center | 1952 Whitney Ave., 3rd Floor, Hamden, CT 06517 | 2015-04-07 |
| Find all providers in zip 06517 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730690546 | John T Palma | Nurse Practitioner | 2969 Whitney Ave, Hamden, CT 06518-2556 | 2017-10-19 |
| 1487172524 | Corinna Michelle Edwards Lyon | Nurse Practitioner | 60 Washington Ave Ste 304, Hamden, CT 06518-3273 | 2017-09-08 |
| 1972959039 | Shelley Christ | Nurse Practitioner | 2795 Whitney Ave, Hamden, CT 06518-2544 | 2016-05-09 |
| 1467083055 | Lifespring Healthcare Services LLC | Nurse Practitioner | 3074 Whitney Ave, Hamden, CT 06518-2391 | 2020-01-31 |
| 1508116609 | Cassandra Mary Ramsey | Nurse Practitioner | 1100 Sherman Ave, Hamden, CT 06514-1363 | 2012-09-15 |
| 1902130107 | Maura Woodward, LLC | Nurse Practitioner | 2560 Dixwell Ave, Suite 3c, Hamden, CT 06514-1851 | 2009-09-22 |
| 1720239890 | Family Psychiatric Services | Nurse Practitioner | 2553 Whitney Ave, Hamden, CT 06518-3021 | 2008-10-07 |
| 1891818712 | Ann Marie Fowler | Nurse Practitioner | 3074 Whitney Ave, Bldg 1, Floor 2, Hamden, CT 06518-2391 | 2007-04-07 |
| 1811005218 | Curtis Dean Harmon | Nurse Practitioner | 3018 Dixwell Avenue, Hamden, CT 06518 | 2006-08-26 |
| 1043323025 | Mary Ann Starkes | Nurse Practitioner | 3074 Whitney Ave, Building One, Hamden, CT 06518-2391 | 2006-08-16 |
| Find all providers in HAMDEN | ||||
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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.