CARLOS ANTONIO HERNANDEZ-AVILA (NPI# 1467511568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467511568 |
| Entity Type | Individual |
| Full Name | CARLOS ANTONIO HERNANDEZ-AVILA |
| Credential | MD |
| Practice Address |
525 Russell Road Cedarcrest Hospital Human Resources Newington CT 06111 |
| Practice Telephone | 8606667621 |
| Practice Fax Number | 8605944900 |
| Mailing Telephone | 8606667621 |
| Mailing Fax Number | 8605944900 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
035921 | CT | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
035921 | CT | Allopathic & Osteopathic Physicians |
| X | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
035921 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
525 RUSSELL ROAD CEDARCREST HOSPITAL HUMAN RESOURCES |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609959659 | Asha Satpaul Garg | Nuclear Medicine | 525 Russell Road, Human Resources Cedarcrest Hospital, Newington, CT 06111 | 2006-10-23 |
| 1437216892 | Steven M Stein | Internal Medicine | 525 Russell Road, Cedarcrest Hospital Human Resources, Newington, CT 06111 | 2007-01-03 |
| 1043383151 | Lucas Garcia Jr. | Psychiatry & Neurology | 525 Russell Road, Cedarcrest Hospital Human Resources, Newington, CT 06111 | 2006-11-16 |
| 1558440446 | John Joseph Ricardo | Internal Medicine | 525 Russell Road, Cedarcrest Hospital Human Resources, Newington, CT 06111 | 2006-11-03 |
| 1417036302 | Michael J Fortin | Psychiatry & Neurology | 525 Russell Road, Cedarcrest Hospital Human Resources, Newington, CT 06111 | 2006-11-03 |
| 1952480840 | Manju Aggarwal | Family Medicine | 525 Russell Road, Cedarcrest Hospital Human Resources, Newington, CT 06111 | 2006-11-03 |
| 1427135888 | Barbara L Edelstein | Psychiatry & Neurology | 525 Russell Road, Cedarcrest Hospital Human Resources, Newington, CT 06111 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
| 1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
| 1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
| 1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
| 1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
| 1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
| 1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
| 1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
| 1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
| 1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
| Find all providers in zip 06111 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508967951 | John Antonucci | Psychiatry & Neurology | 555 Willard Ave, Newington, CT 06111-2631 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1114462751 | Alma Rosa Barreto | Psychiatry & Neurology | 65 Avonwood Rd, Apt C9, Avon, CT 06001-2051 | 2017-01-05 |
| 1235339219 | Teo-carlo Straun | Psychiatry & Neurology | 279 New Britain Rd Ste A, Berlin, CT 06037-3165 | 2007-07-19 |
| 1053438267 | George Davis Gammon | Psychiatry & Neurology | 33 Edgehill Ter, Hamden, CT 06517-4017 | 2007-03-23 |
| 1316008360 | John P Ewing | Psychiatry & Neurology | 8 Titus Rd, Washington Depot, CT 06794-1517 | 2006-12-13 |
| 1093808727 | Elbert Greer Richardson Jr. | Psychiatry & Neurology | 234 Church St Ste 301, New Haven, CT 06510-1807 | 2006-10-02 |
| 1306937859 | Isabel S Rathbone | Psychiatry & Neurology | Va Connecticut/116a, 950 Campbell Avenue, West Haven, CT 06516 | 2006-09-28 |
| 1912463423 | Foenix Medical Consulting Pllc | Psychiatry & Neurology | 1 Turkey Hill Rd S Ste 100, Westport, CT 06880-5525 | 2019-02-20 |
| 1790091627 | Mona Thapa | Psychiatry & Neurology | 1 Long Wharf Dr, Ste 321, New Haven, CT 06511-5991 | 2010-08-30 |
| 1801094479 | Mahboob Ahmad Aslam | Psychiatry & Neurology | 546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800 | 2007-07-05 |
| Find all providers with the same taxonomy | ||||
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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.