DR. SANDRA LEE TALLEY (NPI# 1528065513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528065513 |
Entity Type | Individual |
Full Name | DR. SANDRA LEE TALLEY |
Credential | PHD, APRN |
Practice Address |
85 Willow St Bldg B New Haven CT 06511-2668 |
Mailing Address |
309 Central Ave New Haven CT 06515-2205 |
Practice Telephone | 2037375609 |
Practice Fax Number | 2037375710 |
Mailing Telephone | 2033877541 |
Mailing Fax Number | 2037375710 |
Enumeration Date | 2005-07-05 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
002290 | CT | Physician Assistants & Advanced Practice Nursing Providers |
X | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
002290 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
85 WILLOW ST BLDG B |
City | NEW HAVEN |
State | CT |
Zip Code | 06511-2668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366916066 | Quiana Naikia Horry | Community/Behavioral Health | 85 Willow St, New Haven, CT 06511-2668 | 2019-01-15 |
1285110536 | Sammeisha Sheileen Caporale | Community/Behavioral Health | 85 Willow St, New Haven, CT 06511-2668 | 2018-07-18 |
1720564537 | Jennifer Vazquez | Student in an Organized Health Care Education/Training Program | 85 Willow St, New Haven, CT 06511-2668 | 2018-07-15 |
1265922991 | Vanessa Cruz | Counselor | 85 Willow St, New Haven, CT 06511-2668 | 2018-05-17 |
1689188476 | Griselle Compres | Behavior Technician | 85 Willow St, New Haven, CT 06511-2668 | 2017-12-01 |
1831333897 | Eps Educational and Psychological Solutions, LLC | Psychologist | 85 Willow St, Bldg 3, First Floor, Unit 1, New Haven, CT 06511-2668 | 2009-04-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
Find all providers in zip 06511 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
1174090617 | Radmila M Meyer | Nurse Practitioner | 37 Trumbull St Bsmt, New Haven, CT 06510-1000 | 2018-11-01 |
1194202838 | Kamman Psychiatric LLC | Nurse Practitioner | 79 Trumbull St Ste C9, New Haven, CT 06511-3708 | 2018-07-25 |
1871738104 | Maura Fischer | Nurse Practitioner | 388 Whitney Ave, New Haven, CT 06511-2363 | 2008-12-16 |
1932200300 | Mary Lindsay Powell | Nurse Practitioner | 270 Congress Ave, New Haven, CT 06519-1403 | 2006-09-26 |
1972588895 | Post Traumatic Stress Center | Nurse Practitioner | 19 Edwards St, New Haven, CT 06511-7313 | 2005-12-13 |
1528669181 | Marisol Orth | Nurse Practitioner | 374 Grand Ave, New Haven, CT 06513-3733 | 2020-11-02 |
1033726856 | Mekessia Richards-carby | Nurse Practitioner | 1 Long Wharf Dr, New Haven, CT 06511-5991 | 2020-09-25 |
1760003339 | Sarah Irvine | Nurse Practitioner | 189 Orange St, New Haven, CT 06510-2014 | 2020-05-05 |
1124673066 | Lauren Hollywood | Nurse Practitioner | 109 Legion Ave, New Haven, CT 06519-5506 | 2019-08-07 |
Find all providers in NEW HAVEN |
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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.