DR. NICOLE M BARCELOS (NPI# 1467820944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467820944 |
| Entity Type | Individual |
| Full Name | DR. NICOLE M BARCELOS |
| Credential | PSY.D. |
| Practice Address |
100 Deerfield Rd Windsor CT 06095-4252 |
| Practice Telephone | 8602700600 |
| Practice Fax Number | 8607484432 |
| Mailing Telephone | 8602700600 |
| Mailing Fax Number | 8607484432 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2016-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 3566 | CT | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 021324 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3566 | CT | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
021324 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | CAPITAL DISTRICT PHYSICIAN'S HEALTH PLAN, INC. | PRC200326293 | 01 |
| NY | BLUESHIELD OF NORTHEASTERN NY | 000427298001 | 01 |
| NY | EMPIRE BLUECROSS | V38N41 | 01 |
| Street Address |
100 DEERFIELD RD |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177926 | Easter Seals Capital Region & Eastern Connecticut, Inc. | Clinic/Center | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2005-07-11 |
| 1447779509 | Tiffany Konsza | Psychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2017-09-11 |
| 1164814463 | Eli Aroesty | Psychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2015-02-23 |
| 1811394414 | Lora Mason | Occupational Therapist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2014-11-25 |
| 1659644623 | Erin O'brien Wilson | Speech-Language Pathologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2012-02-21 |
| 1033412259 | Cynthia D. Robbins | Occupational Therapist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2010-12-09 |
| 1881924439 | Anabela Dasilva Smith | Clinical Neuropsychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2010-01-04 |
| 1649419151 | Marina Chebotayev O'neil | Speech-Language Pathologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2009-02-08 |
| 1093953531 | Carol Ann Concannon | Nurse Practitioner | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2009-01-21 |
| 1477727881 | Heather Dawn Smith | Speech-Language Pathologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2008-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1326592221 | Riggs Geriatric Psychology Pllc | Psychologist | 54 Main St Ste Ll2, Windsor, VT 05089-1321 | 2016-08-09 |
| 1720249311 | J Sandra Leonard | Psychologist | 613 S Tebo St, Windsor, MO 65360-1737 | 2008-06-17 |
| 1265622476 | Peggy Maki -white Phd LLC | Psychologist | 1226 West Ash, Suite F, Windsor, CO 80550 | 2007-07-25 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| 1447309216 | Eileen Denise Roberts | Psychologist | 8911 Lakewood Dr Ste 25b, Windsor, CA 95492-7856 | 2007-01-09 |
| 1821161753 | June Roberta Hyman Cismoski | Psychologist | 1194 W Ash, Ste D, Windsor, CO 80550-4608 | 2006-11-16 |
| 1306947213 | Walter Joseph Pawlowski | Psychologist | 113 Maple Avenue, Windsor, CT 06095 | 2006-09-25 |
| 1366420796 | Tenea M Lowman | Psychologist | 307 N. Main, Windsor, MO 65360 | 2006-01-05 |
| 1467438895 | Patricia Hanley | Psychologist | 79 E Windsor Blvd, Windsor, VA 23487-9410 | 2005-12-18 |
| Find all providers in WINDSOR | ||||
Please comment or provide details below to improve the information on DR. NICOLE M BARCELOS.
| 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.