JERZY EMIL HENISZ (NPI# 1437374014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437374014 |
| Entity Type | Individual |
| Full Name | JERZY EMIL HENISZ |
| Credential | M.D. |
| Practice Address |
52 West Church Hill Rd Washington Depot CT 06794-0414 |
| Mailing Address |
Po Box 1089 Sharon CT 06069-1089 |
| Practice Telephone | 8608682886 |
| Practice Fax Number | 8608682886 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
015512 | CT | Behavioral Health & Social Service Providers |
| Street Address |
52 WEST CHURCH HILL RD |
| City | WASHINGTON DEPOT |
| State | CT |
| Zip Code | 06794-0414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780963603 | Washington Health Center & Pharmacy LLC | Pharmacy | 5 Bryan Hall Plaza, Washington Depot, CT 06794 | 2011-08-09 |
| 1932310729 | Washington Depot Family Dentistry, LLC | Dentist | 70 Bee Brook Rd, Washington Depot, CT 06794 | 2007-05-24 |
| 1912958216 | Washington Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 5 Green Hill Road, Washington Depot, CT 06794 | 2006-05-12 |
| 1740619790 | Craig Gerald Schoon | Psychologist | 8 Hifield Dr, Washington Depot, CT 06794-1114 | 2013-11-09 |
| 1841217759 | Allan Herbert Grunberg | Anesthesiology | 40 Hifield Dr, Washington Depot, CT 06794-1114 | 2006-07-16 |
| 1730234022 | Carol Ann Otoole | Acupuncturist | 46 Kielwasser Rd, Washington Depot, CT 06794-1120 | 2007-01-24 |
| 1376853499 | Katherine Louise Merrill | Social Worker | 10 Brinsmaid Rd, Washington Depot, CT 06794-1200 | 2010-10-08 |
| 1376928531 | Chelsea Searles | Specialist/Technologist | 201 Romford Rd, Washington Depot, CT 06794-1300 | 2015-07-29 |
| 1225321557 | Judith Gorra | Marriage & Family Therapist | 12 Winston Dr, Washington Depot, CT 06794-1418 | 2011-05-19 |
| 1992087209 | Kevin Keith Bodling | Chiropractor | 1 Titus Rd, Suite 2, Washington Depot, CT 06794-1516 | 2011-09-13 |
| Find all providers in zip 06794 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922464783 | Serenity Behavioral Health and Integrative Medicine | Psychologist | 8 Heartwell Dr, Groton, CT 06340-2873 | 2016-01-11 |
| 1053737965 | Sheryl Lacoursiere LLC | Psychologist | 2 Pomperaug Office Park Ste 105, Southbury, CT 06488-2289 | 2014-03-16 |
| 1992057772 | Willow Treatment & Associates, Inc. | Psychologist | 60 Connolly Parkway; Building 2c-207, Wilbur Cross Commons, Hamden, CT 06514 | 2012-10-04 |
| 1245503705 | Ljudmil Kljusev Md, LLC | Psychologist | 227 Naugatuck Ave, Milford, CT 06460-5540 | 2012-02-14 |
| 1447458666 | Alejandra Valencia | Psychologist | 230 South Frontage Rd., The Yale Child Study Center, New Haven, CT 06520 | 2007-07-10 |
| 1518405059 | Psychiatry Associates of Connecticut | Psychologist | 230 Main Street Ext, Middletown, CT 06457-4470 | 2017-02-04 |
| 1457709818 | Barbara A. Moynihan LLC | Psychologist | 1 S Main St, Branford, CT 06405-3872 | 2016-05-26 |
| 1245536853 | Mark Schroeder Md, LLC | Psychologist | 354 Warrenville Rd, Mansfield Center, CT 06250-1130 | 2011-01-28 |
| 1295905644 | Leonard None Diamond | Psychologist | 29 S Main St, New Milford, CT 06776-3507 | 2008-03-01 |
| City | WASHINGTON DEPOT |
| Zip Code | 06794 |
Please comment or provide details below to improve the information on JERZY EMIL HENISZ.
| 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.