MERCURY MEDICAL (NPI# 1598015208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598015208 |
| Entity Type | Organization |
| Organization Name | MERCURY MEDICAL |
| Practice Address |
171 Grove Pl West Haven CT 06516-6438 |
| Practice Telephone | 6166901835 |
| Mailing Telephone | 6166901835 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Authorized Official Name | DR. RICHARD ANDREW SEWELL (PRESIDENT) |
| Authorized Official Telephone | 6166901835 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
007163 | CT | Behavioral Health & Social Service Providers |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
045978 | CT | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
045978 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578805156 | Mercury Medical | Durable Medical Equipment & Medical Supplies | 2508 20th St, Lubbock, TX 79410-1507 | 2013-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCURY MEDICAL | 11300 49th St N, Clearwater, FL 33762-4807 |
| Street Address |
171 GROVE PL |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-6438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992037071 | Behavioral Care, Integrated,llc | Psychiatry & Neurology | 687 Campbell Ave Rear, West Haven, CT 06516-3773 | 2010-02-01 |
| 1396911178 | Sally Dunne Romano | Psychiatry & Neurology | 503 Glendevon Dr N, West Haven, CT 06516-7900 | 2008-05-01 |
| 1851591820 | Chadi Abdallah | Psychiatry & Neurology | 950 Campbell Ave # 151e, National Center for Ptsd, Va Ct Healthcare System, West Haven, CT 06516-2770 | 2007-07-18 |
| 1396835294 | Mehmet Sofuoglu | Psychiatry & Neurology | 950 Campbell Ave Bldg 36, West Haven, CT 06516-2770 | 2006-10-13 |
| 1295826626 | Ismene Petrakis | Psychiatry & Neurology | 950 Campbell Ave # 116a, West Haven, CT 06516-2770 | 2006-09-28 |
| 1164521290 | Marc Rosen | Psychiatry & Neurology | Dept of Psychiatry,116a, Va Connecticut Healthcare System, West Haven, CT 06516 | 2006-09-22 |
| 1194823161 | Michael H Ebert | Psychiatry & Neurology | 950 Campbell Ave # 11, West Haven, CT 06516-2770 | 2006-09-21 |
| 1003913450 | Robert Alan Rosenheck | Psychiatry & Neurology | 950 Campbell Ave., West Haven, CT 06516 | 2006-09-20 |
| 1013908094 | Eric Dietrich Hermes | Psychiatry & Neurology | 950 Campbell Ave # 151d, Bldg. 35 (lower Level), West Haven, CT 06516-2770 | 2005-10-31 |
| 1588658934 | Robert G Giebisch | Psychiatry & Neurology | 270 Center St Ste 2, West Haven, CT 06516-4400 | 2005-08-31 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
Please comment or provide details below to improve the information on MERCURY MEDICAL.
| 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.