DR. LARA GAYLE CHEPENIK


Address: 300 George St, Department of Psychiatry, Suite 901, New Haven, CT 06511-6624
Phone: 2037856394

DR. LARA GAYLE CHEPENIK (NPI# 1528265444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528265444
Entity Type Individual
Full Name DR. LARA GAYLE CHEPENIK
Credential M.D. PH.D.
Practice Address 300 George St
Department of Psychiatry, Suite 901
New Haven
CT 06511-6624
Mailing Address 1009 Abbey Ct
Orange
CT 06477-1111
Practice Telephone 2037856394
Mailing Telephone 2037856394
Enumeration Date 2007-07-03
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 03-475625 CT Other Service Providers

Office Location

Street Address 300 GEORGE ST
DEPARTMENT OF PSYCHIATRY, SUITE 901
City NEW HAVEN
State CT
Zip Code 06511-6624

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093798860 Stefanie Anne Generao Nurse Practitioner 300 George St, New Haven, CT 06511-6624 2005-11-24
1437779451 Sarah Jefferson Student in an Organized Health Care Education/Training Program 300 George St, New Haven, CT 06511-6624 2020-04-20
1366905598 Sean Patterson Student in an Organized Health Care Education/Training Program 300 George St, New Haven, CT 06511-6624 2019-04-14
1063945665 Ricci Bender Psychiatry & Neurology 300 George St, Suite 901, New Haven, CT 06511-6624 2017-04-10
1235662354 Sofia Vi Noori Psychiatry & Neurology 300 George St, Suite 901, New Haven, CT 06511-6624 2017-04-05
1346773546 Andrew James Wilbur Student in an Organized Health Care Education/Training Program 300 George St, Suite 901, New Haven, CT 06511-6624 2017-04-05
1558894816 Hana Kamal Ali Student in an Organized Health Care Education/Training Program 300 George St, Suite 901, New Haven, CT 06511-6624 2017-04-04
1912439589 Juan Gabriel Rodriguez Guzman Student in an Organized Health Care Education/Training Program 300 George St, Suite 901, New Haven, CT 06511-6624 2017-04-01
1952833956 Celeste Lipkes Student in an Organized Health Care Education/Training Program 300 George St, Suite 901, New Haven, CT 06511-6624 2017-03-29
1528599065 Tzong-yang Albert Higgins-chen Student in an Organized Health Care Education/Training Program 300 George St, Suite 901, New Haven, CT 06511-6624 2017-03-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659903599 Ann M Samra-theurer Specialist 3988 Cobblestone Cv, New Haven, IN 46774-2078 2020-02-09
1578949830 Lee Shaul Yaari Specialist 800 Howard Ave # Ybp133, Yale- New Haven Hospital, New Haven, CT 06519-1369 2015-08-09
1396068847 Melissa Fappiano Specialist 915 Ella Grasso Blvd, New Haven, CT 06519-5516 2010-03-11
1023349255 Elzabeth K Hartup Specialist 8805 Edwardsberg Pl, New Haven, IN 46774-1079 2010-01-28
1215164058 Southern New England Ear, Nose, Throat and Facial Plastic Surgery Grou Specialist One Long Wharf Drive, Suite #302, New Haven, CT 06511-5593 2009-06-19
1386885796 Jay K Pahade Specialist Tompkins East 2, Dept of Radiology- Yale Unversity, New Haven, CT 06520-8042 2009-03-13
1447273073 James Charney Specialist 413 Orange St, New Haven, CT 06511-6424 2006-07-25
1720003742 Richard Joseph Restifo Specialist 59 Elm St, Suite 560, New Haven, CT 06510-2047 2006-07-12
1033157714 Richard P Salzano Jr. Specialist 136 Sherman Ave Ste 205, New Haven, CT 06511-5210 2006-06-03
1639167240 Radiology Consultants, P.C. Specialist 40 Temple St, Suite 2b, New Haven, CT 06510-2715 2005-10-07
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City NEW HAVEN
Zip Code 06511

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Dataset Information

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.

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