LIBERTY INTEGRATED BEHAVIORAL HEALTH, LLC (NPI# 1417483165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417483165 |
| Entity Type | Organization |
| Organization Name | LIBERTY INTEGRATED BEHAVIORAL HEALTH, LLC |
| Practice Address |
18 Hart St. New Britain CT 06052 |
| Mailing Address |
18 Hart St. New Britain CT 06052-1702 |
| Practice Telephone | 8603574112 |
| Practice Fax Number | 8603574253 |
| Mailing Telephone | 8603574112 |
| Mailing Fax Number | 8603574253 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2018-05-14 |
| Authorized Official Name | SYLVIA CAROL LUTKOWSKA (VICE PRESIDENT) |
| Authorized Official Telephone | 8603574112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
000570 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Liberty Integrated Behavioral Health, LLC | 18 Hart St., New Britain, CT 06052 |
| Street Address |
18 HART ST. |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| 1306979257 | Lucyna T Kolakowska | Internal Medicine | 247 West Main Street, New Britain, CT 06052 | 2007-03-13 |
| Find all providers in zip 06052 | ||||
| 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 |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1295207058 | Olivia Carter | Nurse Practitioner | 55 Lexington St, New Britain, CT 06052-1416 | 2018-12-18 |
| 1003388919 | Laura Elizabeth Gabriel | Nurse Practitioner | 370 Osgood Avenue, New Britain, CT 06053 | 2018-12-18 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1811995103 | Mary Lou Graham | Nurse Practitioner | 14 Cedar St, New Britain, CT 06052-1302 | 2005-07-11 |
| 1215545090 | Liv Well Behavioral Services | Nurse Practitioner | 55 Lexington St, New Britain, CT 06052-1416 | 2020-07-17 |
| 1134753288 | Dawn Erlingson | Nurse Practitioner | 233 Main St, New Britain, CT 06051-4204 | 2020-02-27 |
| 1508330911 | Sophia Lopez | Nurse Practitioner | 73 Cedar St, New Britain, CT 06052-1301 | 2019-01-18 |
| 1194297093 | Naomi Helene Turner | Nurse Practitioner | 2150 Corbin Ave, New Britain, CT 06053-2298 | 2018-12-18 |
| 1598240830 | Cristina Meehan | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2018-10-02 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on LIBERTY INTEGRATED BEHAVIORAL HEALTH, LLC.
| 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.