AMANDA RAE SQUARE (NPI# 1528220894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528220894 |
| Entity Type | Individual |
| Full Name | AMANDA RAE SQUARE |
| Other Name | AMANDA RAE SANDOVAL |
| Credential | M.D., M.P.H. |
| Practice Address |
40 Temple St Suite 7c New Haven CT 06510-2715 |
| Practice Telephone | 2037852513 |
| Mailing Telephone | 2037852513 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2014-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
050057 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 2084D0003X | 05 |
| Street Address |
40 TEMPLE ST SUITE 7C |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639167240 | Radiology Consultants, P.C. | Specialist | 40 Temple St, Suite 2b, New Haven, CT 06510-2715 | 2005-10-07 |
| 1396298485 | Kirsten Ackerman | Dietitian, Registered | 40 Temple St, Suite 7b, New Haven, CT 06510-2715 | 2016-07-26 |
| 1457700866 | Rachel Ebling | Psychologist | 40 Temple St, Suite 6d, New Haven, CT 06510-2715 | 2016-06-07 |
| 1831543347 | Eileen Linda Chang | Student in an Organized Health Care Education/Training Program | 40 Temple St, New Haven, CT 06510-2715 | 2016-04-20 |
| 1306217302 | Jessica Nargi | Dietitian, Registered | 40 Temple St, 7b, New Haven, CT 06510-2715 | 2015-10-15 |
| 1679953863 | Yvonne Wang | Ophthalmology | 40 Temple St, New Haven, CT 06510-2715 | 2015-06-03 |
| 1851707723 | Rabin Dahal | Psychiatry & Neurology | 40 Temple St, New Haven, CT 06510-2715 | 2014-07-10 |
| 1225443997 | Jay Chong Wang | Ophthalmology | 40 Temple St, New Haven, CT 06510-2715 | 2014-06-21 |
| 1376982033 | Lisa Ann Castagnola | Social Worker | 40 Temple St, Suite 7c, New Haven, CT 06510-2715 | 2013-06-17 |
| 1386081024 | Signy M Peck | Social Worker | 40 Temple St, New Haven, CT 06510-2715 | 2013-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962647842 | Pamela Edie Hoffman | Psychiatry & Neurology | 230 S Frontage Rd # G112, New Haven, CT 06519-1124 | 2008-12-08 |
| 1417155912 | Paul Saad El-fishawy | Psychiatry & Neurology | 291 Whitney Ave Ste 404, New Haven, CT 06511-3765 | 2007-07-05 |
| 1528261294 | Guita Epstein Wilf | Psychiatry & Neurology | 646 George St, New Haven, CT 06511-5322 | 2007-06-08 |
| 1902921380 | Cornell Scott Hill Health Corporation | Psychiatry & Neurology | 400-428 Columbus Avenue, New Haven, CT 06519-1233 | 2007-03-21 |
| 1568578227 | Margo L. Fugate | Psychiatry & Neurology | 226 Dixwell Avenue, Cfg-dixwell, New Haven, CT 06511-3456 | 2006-08-22 |
| 1912930033 | Pieter Joost Van Wattum | Psychiatry & Neurology | 93 Edwards St, New Haven, CT 06511-3933 | 2006-07-09 |
| 1487696282 | Eric S Millman | Psychiatry & Neurology | 64 Trumbull St, New Haven, CT 06510-1028 | 2006-06-13 |
| 1932197878 | James F Leckman | Psychiatry & Neurology | 230 S Frontage Rd, Sterling Hall of Medicine - I-wing, New Haven, CT 06519-1124 | 2005-10-13 |
| 1184153447 | Jose Manuel Paez | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-06-08 |
| 1255867255 | Robert Labril | Psychiatry & Neurology | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2017-05-11 |
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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.