CAROL CRUZ (NPI# 1598215386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598215386 |
| Entity Type | Individual |
| Full Name | CAROL CRUZ |
| Practice Address |
23 Elmwood Way Clinton CT 06413-1508 |
| Practice Telephone | 2033391191 |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 00609 | CT | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223107 | Carol Diane Cruz | Counselor | 101 S Fannin St Ste 110, Rockwall, TX 75087-3702 | 2020-01-02 |
| 1811012537 | Carol Louise Cruz | Counselor | 4126 S Demaree St, Suite B, Visalia, CA 93277-9514 | 2007-03-20 |
| Street Address |
23 ELMWOOD WAY |
| City | CLINTON |
| State | CT |
| Zip Code | 06413-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003365164 | Right Path House, LLC | Community/Behavioral Health | 23 Elmwood Way, Clinton, CT 06413-1508 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| 1659814366 | A Behavioral Apporach | Behavioral Analyst | 4 Laconia Dr, Clinton, CT 06413 | 2016-11-29 |
| 1255786638 | The Vogl Program | Early Intervention Provider Agency | 15 Hammock Pkwy, Clinton, CT 06413 | 2016-05-04 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1306067624 | Julia S Tucker | Marriage & Family Therapist | 162 B East Main Street, Clinton, CT 06413 | 2007-05-02 |
| 1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
| 1215099411 | Edward I Winokur Md | Family Medicine | 27 Commerce Street, Clinton, CT 06413 | 2006-12-14 |
| 1366518904 | Catherine L Alder | Social Worker | 12 Bargate Road, Clinton, CT 06413 | 2006-11-27 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| Find all providers in zip 06413 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161091 | New Destiny Treatment Center, Inc. | Substance Abuse Rehabilitation Facility | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2020-07-09 |
| 1821561788 | Clear Skye Medical Holdings, LLC | Substance Abuse Rehabilitation Facility | 1035 Medical Ridge Rd, Clinton, SC 29325-4542 | 2019-01-03 |
| 1952800104 | Freedom House Inc. | Substance Abuse Rehabilitation Facility | 2004 Route 31 North, Suite 2, Clinton, NJ 08809 | 2018-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073143152 | Connecticut Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 6 Glenville St, Greenwich, CT 06831-3638 | 2020-01-17 |
| 1235774365 | Aware Recovery Care of Indiana LLC | Substance Abuse Rehabilitation Facility | 35 Thorpe Ave Ste 104, Wallingford, CT 06492-1948 | 2019-11-13 |
| 1710528252 | Ct Ya Services LLC | Substance Abuse Rehabilitation Facility | 3236 Congress St, Fairfield, CT 06824-2034 | 2019-10-07 |
| 1669970125 | Mountainside - Wilton | Substance Abuse Rehabilitation Facility | 372 Danbury Rd Ste 195, Wilton, CT 06897-2523 | 2018-01-30 |
| 1104335041 | Mccall Foundation, Inc. | Substance Abuse Rehabilitation Facility | 17 Prospect Pl, Torrington, CT 06790-4919 | 2017-09-22 |
| 1922541143 | Cvs Pharmacy | Substance Abuse Rehabilitation Facility | 35 Padanaram Rd, Danbury, CT 06811-3701 | 2016-11-19 |
| 1255735577 | Pivot Ministries, Inc. | Substance Abuse Rehabilitation Facility | 485 Jane St, Bridgeport, CT 06608-1707 | 2014-10-15 |
| 1801201330 | Time for A Change Ministry | Substance Abuse Rehabilitation Facility | 880 Hancock Ave, Bridgeport, CT 06605-1930 | 2014-06-23 |
| 1275946881 | High Watch Recovery Center | Substance Abuse Rehabilitation Facility | 62 Carter Rd., Kent, CT 06757 | 2014-06-11 |
| 1083883177 | Mountainside Treatment Center | Substance Abuse Rehabilitation Facility | 187 Route 7, Canaan, CT 06018 | 2008-02-22 |
| Find all providers with the same taxonomy | ||||
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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.