DR. JOHN REED BRUNDAGE (NPI# 1417040908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417040908 |
| Entity Type | Individual |
| Full Name | DR. JOHN REED BRUNDAGE |
| Credential | PH.D. |
| Practice Address |
144 Morgan Street Suite 7 Stamford CT 06905 |
| Mailing Address |
70 Chambers Road Danbury CT 06811 |
| Practice Telephone | 2033258411 |
| Mailing Telephone | 2037308486 |
| Mailing Fax Number | 2037302219 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
755 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669891693 | John Alexander Brundage | Counselor | 1311 N Dixie Hwy, Building C, Elizabethtown, KY 42701-2621 | 2014-04-07 |
| Street Address |
144 MORGAN STREET SUITE 7 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881774065 | Leslie Ruth Coleman | Allergy & Immunology | 144 Morgan Street, Suite 3, Stamford, CT 06905-5433 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285186668 | Dariush Fathi | Psychologist | 141 Franklin Street, Stamford, CT 06902-5113 | 2016-11-01 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| 1720357528 | Herbert Steven Cohen | Psychologist | 106 Gun Club Rd, Stamford, CT 06903-1024 | 2011-12-22 |
| 1528392636 | Robin Wachs | Psychologist | 1177 High Road, Suite 206, Stamford, CT 06905-1221 | 2009-09-22 |
| 1801037049 | Melissa Chang Phd LLC | Psychologist | 59 Roxbury Rd, Stamford, CT 06902-1283 | 2009-03-18 |
| 1245449735 | Nancy L. Bronson | Psychologist | 76 Haviland Ct, Stamford, CT 06903-3331 | 2007-05-21 |
| 1700937133 | Jeffrey A Goldman | Psychologist | 32-34 Main St, Stamford, NY 12167-1145 | 2007-01-14 |
| 1013073147 | Ellen Raynes Berman | Psychologist | 123 Macgregor Dr, Stamford, CT 06902-1409 | 2007-01-01 |
| 1316016611 | Leo Paul Donovan Jr. | Psychologist | 239 Hamilton Ave Apt 8, Stamford, CT 06902-3480 | 2006-11-08 |
| 1306872833 | Paul Edward Sloan | Psychologist | 63 Vine Road, Stamford, CT 06905-2012 | 2006-06-25 |
| Find all providers in STAMFORD | ||||
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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.