DR. BRENDA L PLANCK (NPI# 1417929068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417929068 |
| Entity Type | Individual |
| Full Name | DR. BRENDA L PLANCK |
| Credential | M.D. |
| Practice Address |
O'brien Drive Middletown CT 06457 |
| Mailing Address |
Po Box 70--o'brien Drive Middletown CT 06457 |
| Practice Telephone | 8602625486 |
| Mailing Telephone | 8602625486 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084F0202X |
Psychiatry & Neurology Specialization: Forensic Psychiatry |
034645 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONN LICENSE | 034645 | 01 |
| Street Address |
O'BRIEN DRIVE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| 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 | 2084F0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Forensic Psychiatry |
| Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477622686 | Richard Chris Wang | Psychiatry & Neurology | 75 Crystal Run Rd Ste 135, Middletown, NY 10941-7009 | 2006-11-06 |
| 1275613820 | Patrick Kevin Fox | Psychiatry & Neurology | Connecticut Valley Hospital, Russell Hall, Silver Street, Middletown, CT 06457 | 2006-10-17 |
| 1336474055 | Kenneth D. Galen | Psychiatry & Neurology | 1000 Silver St., Middletown, CT 06489 | 2009-10-14 |
| 1942363189 | Paul Thomas Amble | Psychiatry & Neurology | 351 Silver Street, Connecticut Valley Hospital, Middletown, CT 06457 | 2006-12-19 |
| 1124033808 | Quazi Al-tariq II | Psychiatry & Neurology | 41 Dolson Ave, Middletown, NY 10940-6489 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841746369 | Mohit Singh | Psychiatry & Neurology | 360 State St., 1115, New Haven, CT 06510 | 2016-08-26 |
| 1841533551 | Donald Ross Grayson | Psychiatry & Neurology | 195 Farmington Avenue, Suite 203, Farmington, CT 06032 | 2013-04-01 |
| 1619113446 | Haleh Ghanizadeh | Psychiatry & Neurology | 83 West Ln, Ridgefield, CT 06877-4905 | 2008-12-29 |
| 1801052386 | Taiye Akinwande Ogundipe | Psychiatry & Neurology | 1 Turkey Hill Rd S Ste 100, Westport, CT 06880-5525 | 2008-08-04 |
| 1467862706 | Elizabeth M Burch | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106-3309 | 2014-05-07 |
| 1962758698 | Rafik Sidaros | Psychiatry & Neurology | 34 Park St, New Haven, CT 06519-1109 | 2012-07-31 |
| 1851659015 | Naomi Lian | Psychiatry & Neurology | 184 Liberty St, New Haven, CT 06519-1625 | 2012-04-25 |
| 1609155308 | Karen H Brody, Md, LLC | Psychiatry & Neurology | 22 5th St, Stamford, CT 06905-5030 | 2011-08-11 |
| 1215269725 | Vinneth Veronica Carvalho | Psychiatry & Neurology | 201 W Main St, Niantic, CT 06357-1014 | 2010-02-08 |
| 1598091670 | Kenneth M. Selig | Psychiatry & Neurology | 257 New London Tpke, Glastonbury, CT 06033-4550 | 2009-10-26 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on DR. BRENDA L PLANCK.
| 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.