KSM BEHAVIORAL SERVICES, LLC (NPI# 1538643960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538643960 |
| Entity Type | Organization |
| Organization Name | KSM BEHAVIORAL SERVICES, LLC |
| Practice Address |
1867 Summer St Fl 3 Stamford CT 06905-5016 |
| Practice Telephone | 2039894725 |
| Mailing Telephone | 2039894725 |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |
| Authorized Official Name | DR. KERRI S MORRIS (SOLE MEMBER) |
| Authorized Official Telephone | 2038956979 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| N/A | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Ksm Behavioral Services, LLC | 1867 Summer St, 3rd Floor, 3rd Floor, Stamford, CT 06905 |
| Street Address |
1867 SUMMER ST FL 3 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972811040 | Irma Sue Van Dam | Psychologist | 32 Barnes Rd W, Stamford, CT 06902-1243 | 2010-09-22 |
| 1497073118 | Tamasine C Greig | Psychologist | 162 5th St, Stamford, CT 06905-4004 | 2010-05-05 |
| 1245473503 | Jessica Welt-betensky | Psychologist | 2009 Summer St Ste 202, Stamford, CT 06905-5023 | 2009-04-15 |
| 1871738070 | Mary Margaret Drought | Psychologist | 91 Ledge Ln, Stamford, CT 06905-3321 | 2008-12-03 |
| 1487807350 | Kimberly Elizabeth Pasley | Psychologist | 99 Knapp St, Stamford, CT 06907-1731 | 2008-10-23 |
| 1679799878 | Richard Ira Sternberg | Psychologist | 22 Fifth Street, The Penthouse, Stamford, CT 06905-5030 | 2007-04-17 |
| 1851514566 | Robert Keith Schechter | Psychologist | 10 Selby Pl, Stamford, CT 06907-2432 | 2007-04-11 |
| 1164594065 | Family Life Psychological Services PC | Psychologist | 106 Gun Club Road, Stamford, CT 06903-1024 | 2006-11-15 |
| 1629168596 | Mary Elizabeth Siegel | Psychologist | 363 Ocean Dr W, Stamford, CT 06902-8222 | 2006-10-13 |
| 1245327220 | Leslie Raymond Freedman | Psychologist | 2009 Summer St, Suite 202, Stamford, CT 06905-5023 | 2006-10-09 |
| Find all providers in STAMFORD | ||||
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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.