MS. JORDYN R PERLIN (NPI# 1487949731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487949731 |
| Entity Type | Individual |
| Full Name | MS. JORDYN R PERLIN |
| Practice Address |
263 Main St 301 Old Saybrook CT 06475-2326 |
| Mailing Address |
263 Main St 301 Old Saybrook CT 06457 |
| Practice Telephone | 8603387350 |
| Mailing Telephone | 8603387350 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
263 MAIN ST 301 |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727404 | Christina Fantoni | Midwife | 263 Main St, Old Saybrook, CT 06475-2326 | 2005-06-01 |
| 1194208603 | Carrie Kolb, Lcsw, LLC | Social Worker | 263 Main St, Old Saybrook, CT 06475-2326 | 2018-09-11 |
| 1992290167 | Caitlyn Elizabeth Goggin | Counselor | 263 Main St, Old Saybrook, CT 06475-2326 | 2018-06-28 |
| 1861905226 | Erica Kyne | Counselor | 263 Main St, Old Saybrook, CT 06475-2326 | 2017-11-08 |
| 1255728614 | Tidal Counseling LLC | Counselor | 263 Main St, Suite 304, Old Saybrook, CT 06475-2326 | 2015-04-22 |
| 1316340334 | Shaina Dawn Wilkinson | Counselor | 263 Main St, Suite 108, Old Saybrook, CT 06475-2326 | 2014-10-04 |
| 1194153296 | Wade Lindsay Chartier | Counselor | 263 Main St, Old Saybrook, CT 06475-2326 | 2013-10-29 |
| 1528408754 | Tinnysha A Chopra | Dentist | 263 Main St, 2nd Floor, Old Saybrook, CT 06475-2326 | 2013-07-02 |
| 1740539162 | Community Health Center Inc. | Clinic/Center | 263 Main St, 2nd Floor, Old Saybrook, CT 06475-2326 | 2012-08-30 |
| 1033414313 | Ethan A. Kelly | Social Worker | 263 Main St, Old Saybrook, CT 06475-2326 | 2011-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912464223 | Kathleen Malcolm | Physical Medicine & Rehabilitation | Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 | 2019-02-22 |
| 1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
| 1316323397 | Robyn Reilly | Nurse Practitioner | 1687 Rte 1, Old Saybrook, CT 06475 | 2015-08-03 |
| 1679858542 | Brandi Taylor | Counselor | 263 Main St., Suite 301, Old Saybrook, CT 06475 | 2011-10-11 |
| 1346545670 | Lucille Wymer Hartman | Mechanotherapist | 1775 Boston Post Road, Old Saybrook, CT 06475 | 2011-01-18 |
| 1508160631 | Whole Health Wellness, LLC | Clinic/Center | 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 | 2011-01-04 |
| 1184948481 | Maria S. Foss-rand | Counselor | 251 Main St., Suite 100, Old Seybrook, CT 06475 | 2010-03-16 |
| 1467658161 | Rick Morant Dmd Ms LLC | Dentist | 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 | 2007-06-21 |
| 1174724801 | Richard P Benoit Dmd PC | Dentist | 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 | 2007-05-30 |
| 1194932392 | Omotayo Elizabeth Awujoola | Nurse Practitioner | 20 Research Parkway, Old Saybrook, CT 06475 | 2007-05-17 |
| Find all providers in zip 06475 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306890116 | Richard D Ginty | Counselor | 134 Boston Post Rd Ofc 2, Old Saybrook, CT 06475-1557 | 2006-05-19 |
| 1710598065 | Jenna Marie Deluca | Counselor | 130 Elm St, Old Saybrook, CT 06475-4105 | 2020-08-11 |
| 1225503279 | Benjamin Backes | Counselor | 251 Main St Ste 101, Old Saybrook, CT 06475-2357 | 2018-10-05 |
| 1619393527 | Scott Tordoff | Counselor | 251 Main St, Old Saybrook, CT 06475-2357 | 2014-03-16 |
| 1194153296 | Wade Lindsay Chartier | Counselor | 263 Main St, Old Saybrook, CT 06475-2326 | 2013-10-29 |
| 1629319173 | Vincent Arthur Samuolis | Counselor | 251 Main St, Old Saybrook, CT 06475-2357 | 2013-03-08 |
| 1801137328 | Andrew Buccaro | Counselor | 251 Main St, Office 101, Old Saybrook, CT 06475-2357 | 2013-03-07 |
| 1073822789 | Leah Av Russack-baker | Counselor | 123 Elm St, Old Saybrook, CT 06475 | 2010-09-29 |
| 1144556218 | Anthony Augustine | Counselor | 841 Middlesex Tpke, Old Saybrook, CT 06475-1317 | 2009-10-26 |
| 1548448293 | Amy S. Ranard | Counselor | 61 Main St, Old Saybrook, CT 06475-1545 | 2008-02-05 |
| Find all providers in OLD SAYBROOK | ||||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
Please comment or provide details below to improve the information on MS. JORDYN R PERLIN.
| 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.