DR. SCOTT SOMERVILLE (NPI# 1598209322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598209322 |
| Entity Type | Individual |
| Full Name | DR. SCOTT SOMERVILLE |
| Credential | PSY.D. |
| Practice Address |
1635 Central Avenue Bridgeport CT 06610-2717 |
| Practice Telephone | 2035517509 |
| Mailing Telephone | 2035517509 |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
001599 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1635 CENTRAL AVENUE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06610-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649382854 | Robert Steven Colen | Psychologist | 1635 Central Avenue, Room 213 Southwest Ct Mental Health System, Bridgeport, CT 06610 | 2006-09-01 |
| 1881868909 | Melissa Rosales | Social Worker | 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 | 2008-04-18 |
| 1366615510 | Carmen Hernandez | Social Worker | 1635 Central Avenue, Southwest Ct Mental Health System, Bridgeport, CT 06610 | 2008-04-09 |
| 1285806117 | Maureen Anne Mcelaney | Social Worker | 1635 Central Avenue, Southwest Ct Mental Health Systems, Bridgeport, CT 06610 | 2008-04-01 |
| 1720268048 | Stephen Christopher Brown | Social Worker | 1635 Central Avenue, Bridgeport, CT 06610 | 2007-11-05 |
| 1194855858 | Daniel Wartenberg | Psychologist | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2007-03-06 |
| 1609906387 | Catherine C Cifelli | Social Worker | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2007-03-06 |
| 1902945207 | George Allen Hagman | Social Worker | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2007-02-05 |
| 1154469666 | Sundar Ramaswami | Psychologist | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2007-02-05 |
| 1720143043 | Joyce Marie Mosley | Social Worker | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2006-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553698 | Juan G Farfan | Nurse Anesthetist, Certified Registered | 267 Grant Sreet, Bridgeport, CT 06610 | 2020-06-22 |
| 1104446145 | Deepak Rajkumar Vangipuram | Student in an Organized Health Care Education/Training Program | Department of Medicine, Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-20 |
| 1275152886 | Soniya Abraham | Student in an Organized Health Care Education/Training Program | Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2020-04-14 |
| 1538621834 | Yu Mi Kang | Student in an Organized Health Care Education/Training Program | 267 Grant Street, Yale New Haven Health/bridgeport Hosp, Bridgeport, CT 06610 | 2019-04-04 |
| 1073075024 | Ashwin Pramod Deshmukh | Student in an Organized Health Care Education/Training Program | Yale New Haven Health / Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610 | 2019-04-01 |
| 1790246866 | Prachi Mangesh Pednekar | Student in an Organized Health Care Education/Training Program | Yale New Haven Health/bridgeport Hospital, 261 Grant Street Department of Internal Medicine, Bridgeport, CT 06610 | 2019-03-29 |
| 1194247916 | Jessica M. Maddern | Social Worker | 1558 Barnum Avenue, Building C, Bridgeport, CT 06610 | 2017-07-13 |
| 1922532746 | Megha Kureti | Student in an Organized Health Care Education/Training Program | 267 Grant St Fl 3, Bridgeport, CT 06610 | 2017-04-18 |
| 1831623099 | Cynthia Joseph Walters | Nurse Anesthetist, Certified Registered | Bridgeport Hospital-anesthesia Department, 267 Grant Street, Bridgeport, CT 06610 | 2017-04-14 |
| 1285186148 | Helen Leahy | Nurse Practitioner | 439 Mill Hill Ave., Bridgeport, CT 06610 | 2016-10-26 |
| Find all providers in zip 06610 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366729295 | Amy Nicole Hebb | Psychologist | 65 Professional Place, Suite 101, Bridgeport, WV 26330 | 2011-11-06 |
| 1164809638 | Robert Victor Leydon | Psychologist | 141 State St, Bridgeport, WV 26330-1375 | 2015-05-04 |
| 1275945537 | Hinkle Counseling & Psychological Center, Pllc | Psychologist | 147 E Main St, Bridgeport, WV 26330-1755 | 2014-05-21 |
| 1023370434 | Healing Minds Clinic, Pllc | Psychologist | 65 Professional Place, Suite 101, Bridgeport, WV 26330 | 2012-06-12 |
| 1770802886 | Psychological Associates LLC | Psychologist | 2157 North Ave, Bridgeport, CT 06604-2438 | 2010-05-28 |
| 1295912467 | Laura Matefy | Psychologist | 2157 North Ave, Bridgeport, CT 06604-2438 | 2008-01-29 |
| 1639387111 | William Joseph Hass | Psychologist | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2007-05-18 |
| 1194855858 | Daniel Wartenberg | Psychologist | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2007-03-06 |
| 1225173131 | Robert Emil Matefy | Psychologist | 2157 North Ave, Bridgeport, CT 06604 | 2007-02-20 |
| 1154469666 | Sundar Ramaswami | Psychologist | 1635 Central Avenue, Southwest Connecticut Mental Health System, Bridgeport, CT 06610 | 2007-02-05 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06610 |
Please comment or provide details below to improve the information on DR. SCOTT SOMERVILLE.
| 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.