MRS. SAMANTHA ANNE BOUTIN (NPI# 1568007367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568007367 |
| Entity Type | Individual |
| Full Name | MRS. SAMANTHA ANNE BOUTIN |
| Practice Address |
10 N Main St Ste 305 West Hartford CT 06107-1901 |
| Practice Telephone | 2032407075 |
| Mailing Telephone | 2032407075 |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2020-01-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
46.003996 | CT | Behavioral Health & Social Service Providers |
| Street Address |
10 N MAIN ST STE 305 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336235142 | Debra S. Bailey | Psychologist | 10 N Main St Ste 305, West Hartford, CT 06107-1901 | 2006-10-05 |
| 1538789680 | Assessment and Intervention Resource Group, LLC | Social Worker | 10 N Main St Ste 305, West Hartford, CT 06107-1901 | 2020-04-19 |
| 1033759196 | Mana Psychological Services LLC | Clinic/Center | 10 N Main St Ste 305, West Hartford, CT 06107-1901 | 2020-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236277 | Climbing Out Solutions, LLC | Counselor | 998 Farmington Ave Ste 104, West Hartford, CT 06107-2184 | 2020-05-11 |
| 1649737214 | Jessica Brousseau | Counselor | 75 Englewood Ave, West Hartford, CT 06110-1123 | 2019-03-01 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1932678919 | Pinnacle Behavioral Health, PC | Counselor | 345 N Main St Ste 317, West Hartford, CT 06117-2508 | 2018-11-19 |
| 1659865798 | Sieger Counseling Services, LLC | Counselor | 45 S Main St Ste 300, West Hartford, CT 06107-2402 | 2018-06-21 |
| 1346780343 | Jim Hughes | Counselor | 41 Crossroads Plz # 300, West Hartford, CT 06117-2402 | 2017-02-24 |
| 1407239825 | Lorraine Greenfield | Counselor | 15 King Edward Rd, West Hartford, CT 06117-1418 | 2015-07-02 |
| 1083997845 | Theanvy Kuoch | Counselor | 1125 New Britain Avenue, Suite 202, West Hartford, CT 06110-2440 | 2011-09-27 |
| 1144541012 | Lynne Tobin | Counselor | 47 Ledyard Rd, West Hartford, CT 06117-1712 | 2010-06-15 |
| 1225368913 | Jenny Alzate Lpc LLC | Counselor | 78 Cambridge St, West Hartford, CT 06110 | 2010-01-04 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on MRS. SAMANTHA ANNE BOUTIN.
| 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.