MATTHEW CLARK


Address: 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700
Phone: 8606073235

MATTHEW CLARK (NPI# 1417353996) 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) 1417353996
Entity Type Individual
Full Name MATTHEW CLARK
Practice Address 360 Bloomfield Ave
Ste 301
Windsor
CT 06095-2700
Practice Telephone 8606073235
Practice Fax Number 8606073201
Mailing Telephone 8606073235
Mailing Fax Number 8606073201
Enumeration Date 2014-11-12
Last Update Date 2017-01-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
002674 CT Behavioral Health & Social Service Providers

Other Providers MATTHEW CLARK

NPI Name Taxonomy Address Enumeration
1033578653 Matthew Mitchell Clark Student in an Organized Health Care Education/Training Program 2644 Crystal Falls Rd, Lexington, KY 40509-4208 2016-02-11
1154787844 Matthew Clark Chiropractor 5250 S Commerce Dr Ste 155, Murray, UT 84107-5379 2016-01-11
1811001126 Matthew David Ayers Clark Psychologist 7150 Kalamazoo Ave Se, Ste C, Caledonia, MI 49316-9126 2006-08-17
1215993308 Matthew Alexander Clark Internal Medicine Ute Mountain Ute Health Center, Complex B Rustling Willow Street, Towaoc, CO 81334-0049 2006-04-26
1407341134 Matthew Howard Clark Nurse Practitioner 200 1st St Sw, Rochester, MN 55905 2018-06-25
1639674591 Matthew Anthony Clark Student in an Organized Health Care Education/Training Program 22 Bramhall St, Portland, ME 04102-3134 2018-03-24
1588104913 Matthew Louis Clark Pharmacist 4747 Sawmill Rd, Columbus, OH 43220-2490 2017-03-04
1679949184 Matthew Clark Optometrist 2792 E 146th St, Carmel, IN 46033-7718 2015-08-19
1902288806 Matthew Lewis Clark Dermatology 8245 Holly Rd Ste 101, Grand Blanc, MI 48439-2443 2015-06-26
1467872044 Matthew Thomas Clark Pediatrics 2200 Childrens Way, Suite 2404, Nashville, TN 37232-0005 2014-04-22

Office Location

Street Address 360 BLOOMFIELD AVE
STE 301
City WINDSOR
State CT
Zip Code 06095-2700

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255342556 Sean Timothy Brennan Physician Assistant 360 Bloomfield Ave, Suite 209, Windsor, CT 06095-2700 2006-08-11
1942818968 Victoria Dionne Behavior Technician 360 Bloomfield Ave, Windsor, CT 06095-2700 2020-07-15
1346875689 Indigo Counseling Services LLC Counselor 360 Bloomfield Ave, Windsor, CT 06095-2700 2020-03-06
1245896687 Heather Morgan Haas Behavioral Analyst 360 Bloomfield Ave, Windsor, CT 06095-2700 2019-05-10
1306300397 Mojdeh Heidari Family Medicine 360 Bloomfield Ave, Windsor, CT 06095-2700 2019-01-24
1235621236 Trudy Tamara Pearson Social Worker 360 Bloomfield Ave, Windsor, CT 06095-2700 2018-06-05
1801332812 Clark Counseling Services LLC Counselor 360 Bloomfield Ave, Suite 301, Windsor, CT 06095-2700 2017-01-13
1922470772 Purple Hearts Home Care LLC Exclusive Provider Organization 360 Bloomfield Ave, Suite 301, Windsor, CT 06095-2700 2015-10-20
1366821886 Love and Caring Home Care Agency LLC Home Health 360 Bloomfield Ave, Windsor, CT 06095-2700 2015-05-29
1588055818 Velanda Samuel Social Worker 360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700 2015-02-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285255992 Dnd Group of Companies LLC Psychologist 204 Old Village Cir, Windsor, CT 06095 2020-05-04
1811467442 Joseph C Gaetani Jr. Specialist 340 Broad Street Suite 320, Windsor, CT 06095 2018-11-27
1447629043 Brittany Higginbotham Marriage & Family Therapist 347 Park Avenue, Windsor, CT 06095 2015-09-24
1457737454 Eric Han Dentist 697 Poquonock Ave, Windsor, CT 06095 2015-08-03
1265780894 Annetta Ruth Troche Nurse Practitioner 22 Parkwood Drive, Windsor, CT 06095 2012-08-29
1821234006 Milna Rosario Social Worker 6 Poquonock Avenue, Windsor, CT 06095 2008-12-18
1962686824 Kimberly Ju Kim Pediatrics 820 C Prospect Hill Road, Windsor, CT 06095 2007-12-27
1972708758 Price Chopper Inc Pharmacy 675 Poquoncock Ave, Windsor, CT 06095 2007-06-20
1396870358 Occupational Health Centers of The Southwest, P.a., P.C. Clinic/Center 1080 Day Hill Road, Windsor, CT 06095 2007-02-22
1841342094 Thomas F. Reif Psychologist 32 Maple Avenue, Windsor, CT 06095 2007-01-17
Find all providers in zip 06095

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518576040 Carolyn Mae Mader Counselor 2025 Bayfront Ct, Windsor, CO 80550-3592 2020-07-30
1578197349 Heather M Burkey-skye Counselor 1223 Fairfield Ave, Windsor, CO 80550-5822 2020-03-02
1427680933 Kelli Price Counselor 15 Berrios Hill Rd, Windsor, CT 06095-1000 2020-02-12
1427694546 Gerard Fitzgerald Counselor 303 Coopers Mills Rd, Windsor, ME 04363-3825 2019-11-24
1518492297 Jason Allen Counselor 602 Park Edge Cir, Windsor, CO 80550-3255 2017-05-01
1932553567 Samantha Sanborn Counselor 55 Poquonock Ave, Windsor, CT 06095-2508 2016-04-20
1114316544 Rosanna Z Wilson Counselor 1 Kellogg St, Windsor, CT 06095-3117 2015-01-22
1043533557 Joyce A Erickson Counselor 360 Bloomfield Ave Ste 301, Windsor, CT 06095-2700 2010-03-11
1689792582 Heather Findlay Counselor 841 Us Route 5 N, Windsor, VT 05089-9693 2007-03-27
1871600619 Allisyn Hollweg Counselor 1170 W Ash St Ste 100, Windsor, CO 80550-4783 2006-08-25
Find all providers in WINDSOR

Competitor

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City WINDSOR
Zip Code 06095

Improve Information

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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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