STEP UP BEHAVIORAL CARE PC LLC (NPI# 1568014728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568014728 |
Entity Type | Organization |
Organization Name | STEP UP BEHAVIORAL CARE PC LLC |
Practice Address |
111 Westcott Rd Danielson CT 06239-2929 |
Mailing Address |
27 Randolph Rd Howell NJ 07731-8611 |
Practice Telephone | 7182984375 |
Mailing Telephone | 7182984375 |
Enumeration Date | 2019-07-09 |
Last Update Date | 2019-07-09 |
Authorized Official Name | NAFTALI WEINBERGER (OWNER) |
Authorized Official Telephone | 7182984375 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
Allopathic & Osteopathic Physicians |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | Step Up Behavioral Care PC LLC | 111 Westcott Road, Danielson, CT 06239 |
Street Address |
111 WESTCOTT RD |
City | DANIELSON |
State | CT |
Zip Code | 06239-2929 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629065065 | Haven Health Center of Danielson, LLC | Skilled Nursing Facility | 111 Westcott Rd, Danielson, CT 06239-2929 | 2005-09-30 |
1154884740 | Step Up Care PC LLC | Psychologist | 111 Westcott Rd, Danielson, CT 06239-2929 | 2019-04-10 |
1477030633 | Cathleen Codding | Social Worker | 111 Westcott Rd, Danielson, CT 06239-2929 | 2018-07-20 |
1164826517 | Jacc Healthcare Center of Danielson, LLC | Skilled Nursing Facility | 111 Westcott Rd, Danielson, CT 06239-2929 | 2014-10-14 |
1316370620 | Lorna Kay Murdock | Nurse Practitioner | 111 Westcott Rd, Danielson, CT 06239-2929 | 2013-08-11 |
1740527365 | Joseph Alessandro | Nurse Practitioner | 111 Westcott Rd, Danielson, CT 06239-2929 | 2013-01-16 |
1831443001 | Mary Ann Melissa Savaria | Nurse Practitioner | 111 Westcott Rd, Danielson, CT 06239-2929 | 2012-11-09 |
1184854150 | Regency Heights of Danielson, LLC | Skilled Nursing Facility | 111 Westcott Rd, Danielson, CT 06239-2929 | 2009-07-23 |
1124264759 | Colonial Care of Danielson LLC | Skilled Nursing Facility | 111 Westcott Rd, Danielson, CT 06239-2929 | 2009-01-03 |
1447285986 | Joseph Alessandro | Family Medicine | 111 Westcott Rd, Danielson, CT 06239-2929 | 2006-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871075218 | Brooke Fell | Licensed Practical Nurse | 391 Pomfret Avenue, Putnam, CT 06239 | 2018-09-01 |
1780920215 | Donna Johnston | Social Worker | 70 Cottage Street, Danielson, CT 06239 | 2013-01-03 |
1194935718 | Ralph T Campagna | Hearing Instrument Specialist | 594 Putnam Road, Danielson, CT 06239 | 2007-05-23 |
1609095868 | Danielson Pharmacy Inc | Pharmacy | 77 A Westcott Rd, Danielson, CT 06239 | 2007-04-25 |
1366515207 | Gary Edward Hartell | Chiropractor | 100 Broad Street, Danielsen, CT 06239 | 2006-11-16 |
1336223668 | Daniel E Fiore | Pharmacist | 42 Reynolds Street, Danielson, CT 06239 | 2006-10-24 |
1164870200 | Kristin Allard | Counselor | 71 Westcott Rd, Danielson, CT 06239 | 2016-05-31 |
1730555012 | Anastasia Zhuk Guc | Nurse Practitioner | 87 Westcott Rd, Danielson, CT 06239 | 2015-08-20 |
1033283197 | Optometric Associates of Danielson PC | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-11-20 |
1417046830 | Cranston Archer Briggs | Optometrist | 419 Main St, Danielson, CT 06239 | 2006-10-12 |
Find all providers in zip 06239 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174565253 | Raveen Mehendru | Psychiatry & Neurology | Hartford Hospital Geriatric Psychiatry, 200 Retreat Avenue, Hartford, CT 06106 | 2006-06-12 |
1366428831 | Javier Salabarria | Psychiatry & Neurology | 67 Masonic Ave, Wallingford, CT 06492-3095 | 2005-12-16 |
1407375363 | Connecticut Geriatric Neuropsychiatry, LLC | Psychiatry & Neurology | 558 Hopmeadow St, Simsbury, CT 06070-2415 | 2017-09-12 |
1457641805 | Unique Approach, LLC | Psychiatry & Neurology | 464 Wolcott Rd, Attn: Jonathan Brenes, Wolcott, CT 06716-2626 | 2011-04-19 |
1801186846 | Brandon Yarns | Psychiatry & Neurology | 300 George St Ste 901, New Haven, CT 06511-6662 | 2011-04-11 |
1275769549 | Isis Burgos-chapman | Psychiatry & Neurology | 400 Columbus Ave, New Haven, CT 06519-1233 | 2009-06-01 |
1225219108 | Shragit Glazman | Psychiatry & Neurology | 55 Hatchetts Hill Rd, Old Lyme, CT 06371 | 2007-11-19 |
1487710141 | Naomi Marta Mendelovicz | Psychiatry & Neurology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-12-28 |
1720154198 | Subbarao Bollepalli | Psychiatry & Neurology | 97 Barnes Rd, Suite #2, Wallingford, CT 06492-1885 | 2006-11-28 |
1427169549 | Julian Offsay | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-31 |
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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.