MS. THERESA M. CLARK (NPI# 1548441710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548441710 |
| Entity Type | Individual |
| Full Name | MS. THERESA M. CLARK |
| Credential | MFT |
| Practice Address |
5 Colony Street Suites 301/303 Meriden CT 06451-3272 |
| Mailing Address |
92 Vine St New Britain CT 06052-1433 |
| Practice Telephone | 2032357923 |
| Practice Fax Number | 2032350013 |
| Mailing Telephone | 8602239291 |
| Mailing Fax Number | 8602233111 |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588118665 | Theresa Clark | Licensed Practical Nurse | 6541 Furnace Rd, Ontario, NY 14519-9701 | 2016-08-07 |
| 1003056383 | Theresa Carlisle Clark | Registered Nurse | 1900 Carriage Dr, Phenix City, AL 36867-2116 | 2009-02-26 |
| 1972700912 | Theresa Marie Clark | Counselor | 108 E 12th St, Suite 1, Hays, KS 67601-3668 | 2007-07-02 |
| 1013120948 | Theresa S. Clark | Dietitian, Registered | 530 Noel Ave, Hopkinsville, KY 42240-1386 | 2007-05-07 |
| 1548893506 | Theresa Ann Clark | Nurse Practitioner | 420 N Main St, Middlebury, IN 46540-8985 | 2020-02-18 |
| 1457688384 | Theresa Clark | Marriage & Family Therapist | 1800 Gravenstein Hwy N, Sebastopol, CA 95472-2607 | 2009-11-13 |
| 1104079839 | Theresa Clark | Registered Nurse | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2008-10-26 |
| 1659520799 | Theresa Clark | Occupational Therapy Assistant | 2300 Great Lakes Dr, Dyer, IN 46311-1917 | 2008-09-12 |
| 1104015155 | Theresa L Clark | Psychiatry & Neurology | 777 Bannock St, Denver, CO 80204-4507 | 2007-10-16 |
| 1528104650 | Theresa Ross Clark | Internal Medicine | 2067 W Vista Way, Suite 200, Vista, CA 92083-6031 | 2007-01-29 |
| Street Address |
5 COLONY STREET SUITES 301/303 |
| City | MERIDEN |
| State | CT |
| Zip Code | 06451-3272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184024234 | Elizabeth Ann Calandra | Marriage & Family Therapist | 5 Colony Street, Suite 302, Meriden, CT 06450-3272 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
| 1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
| 1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
| 1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
| 1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
| 1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
| 1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
| 1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
| 1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
| 1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
| Find all providers in zip 06451 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439009 | Breonna Arnum | Marriage & Family Therapist | 153 Dexter Ave, Meriden, CT 06450-6112 | 2020-08-28 |
| 1780292573 | Karen Silva | Marriage & Family Therapist | 52 Douglas Dr, Meriden, CT 06451-5016 | 2020-07-17 |
| 1538788997 | Amanda Lavorgna | Marriage & Family Therapist | 816 Broad St Ste 23a, Meriden, CT 06450-4350 | 2020-04-15 |
| 1821569625 | Silver City Counseling, LLC | Marriage & Family Therapist | 12 Curtis St Ste 21, Meriden, CT 06450-5900 | 2018-12-06 |
| 1427599851 | Nicole Tierney | Marriage & Family Therapist | 862 E Main St, Meriden, CT 06450-6009 | 2017-03-18 |
| 1407230634 | Paula Coppola | Marriage & Family Therapist | 52 Orchard Hill Rd, Meriden, CT 06451-3646 | 2015-07-17 |
| 1992143127 | Stefanie Koncewicz | Marriage & Family Therapist | 816 Broad St Ste 23, Meriden, CT 06450-4350 | 2013-06-10 |
| 1083977615 | Faith Counseling & Wellness Center | Marriage & Family Therapist | 7272 K4 Hwy, Su Cc;, Meriden, KS 66512-9564 | 2012-06-19 |
| 1518002849 | Kelly Dawn Kuhn | Marriage & Family Therapist | 7272 K-4 Highway, Suite Cc, Meriden, KS 66512 | 2007-02-21 |
| 1457979593 | Regina Marshall | Marriage & Family Therapist | 384 Pratt St, Meriden, CT 06450-8627 | 2020-07-06 |
| Find all providers in MERIDEN | ||||
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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.