COMMUNITY ECONSULT NETWORK, INC. (NPI# 1417475252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417475252 |
Entity Type | Organization |
Organization Name | COMMUNITY ECONSULT NETWORK, INC. |
Practice Address |
631 Main St Middletown CT 06457-2762 |
Practice Telephone | (860) 759-6241 |
Mailing Telephone | 8607596241 |
Enumeration Date | 2017-08-31 |
Last Update Date | 2017-08-31 |
Authorized Official Name | DR. DAREN ANDERSON (MEDICAL OFFICER) |
Authorized Official Telephone | 8607596241 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | COMMUNITY ECONSULT NETWORK, INC. | 635 Main St, Middletown, CT 06457 |
Colorado Business Entities | Community eConsult Network, Inc. | 635 Main Street, Middletown, CT 06457 |
Washington State Corporations | COMMUNITY ECONSULT NETWORK, INC. | 635 Main St, Middletown, CT 06457-2718 |
Street Address |
631 MAIN ST |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-2762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376190850 | Confermed PC | Ophthalmology | 631 Main St, Middletown, CT 06457-2762 | 2019-08-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
Find all providers in zip 06457 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1750635967 | Complete In-home Therapy LLC | Clinic/Center | 430 Mansfield Rd, Ashford, CT 06278-1416 | 2012-11-09 |
Find all providers with the same taxonomy |
City | MIDDLETOWN |
Zip Code | 06457 |
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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.