MR. MICHAEL E GARRARD (NPI# 1609098193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609098193 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL E GARRARD |
| Credential | CADC, SCPG, CAC, SCC |
| Practice Address |
142 Griggs St Waterbury CT 06704-3110 |
| Mailing Address |
141 E Main St Waterbury CT 06702-2310 |
| Practice Telephone | 2035741419 |
| Practice Fax Number | 2035784180 |
| Mailing Telephone | 2035749000 |
| Mailing Fax Number | 2035749006 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2014-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
621 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | SCCD, SCPG, CAC | 3803 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285952903 | Michael Eric Garrard | Physical Therapist | 3565 Saunders Rd, Ringgold, GA 30736-4029 | 2010-05-05 |
| Street Address |
142 GRIGGS ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06704-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678552 | Kenny Perez | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2020-10-29 |
| 1821602772 | Paul Robinson | Social Worker | 142 Griggs St, Waterbury, CT 06704-3110 | 2020-09-08 |
| 1215549506 | Desiree Herens | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2020-08-19 |
| 1558918862 | Mackenzie Smith | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2019-08-21 |
| 1144876152 | Dawn Engelhard | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2019-08-15 |
| 1144727793 | Jacqueline Dicandia | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2018-04-10 |
| 1316461015 | Amanda Lebron | Student in an Organized Health Care Education/Training Program | 142 Griggs St, Waterbury, CT 06704-3110 | 2017-08-03 |
| 1093117772 | Monique Dagraca | Community Health Worker | 142 Griggs St, Therapeutic Shelter, Waterbury, CT 06704-3110 | 2014-09-24 |
| 1376960724 | Michael G Soneson | Social Worker | 142 Griggs St, Waterbury, CT 06704-3110 | 2014-03-24 |
| 1982956181 | Brittanni Koryn Cogdell | Counselor | 142 Griggs St, Therapeutic Shelter, Waterbury, CT 06704-3110 | 2012-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104436757 | John Franco Deleo | Physical Therapist | 8 S Commons Road, Waterbury, CT 06704 | 2020-08-07 |
| 1679108492 | Sky Health Group PC | Family Medicine | 64 Blue Ridge Drive, Waterbury, CT 06704 | 2020-03-12 |
| 1801446554 | George Ahyia Osae Jr. | Physician Assistant | 67 Buckland Dr, Waterbury, CT 06704 | 2019-09-16 |
| 1730629551 | Camille Lois Thomas | Licensed Practical Nurse | 64 Santoro St, Waterbury, CT 06704 | 2017-02-27 |
| 1083925689 | Allan Majeski | Speech-Language Pathologist | 100 Blueridge Drive Extension, Waterbury, CT 06704 | 2010-06-29 |
| 1417273384 | Michael Augustine | Marriage & Family Therapist | 678 Chase Parkway, Waterbury, CT 06704 | 2010-04-16 |
| 1750606000 | Cheryl Lynn Wilson | Social Worker | 103 Kara Drive, Waterbury, CT 06704 | 2010-03-30 |
| 1821212101 | Cesar Augusto Pascal | Dentist | Waterbury Dental Care P.C., 558 Chase Avenue, Waterbury, CT 06704 | 2007-04-11 |
| 1639204688 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 8 South Commons Road, Waterbury, CT 06704 | 2007-02-22 |
| 1053850578 | Erica Jo Cracco | Pharmacist | 240 Chase Ave, Waterbury, CT 06704 | 2017-02-16 |
| Find all providers in zip 06704 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051468 | Evan Hunter Jr. | Counselor | 53 Hawthorne Ave, Waterbury, CT 06708-4614 | 2020-07-24 |
| 1467998674 | Abundant Life Counseling LLC | Counselor | 21 W Main St Fl 4, Waterbury, CT 06702-2013 | 2017-01-11 |
| 1386180768 | Tariq M Abdulaziz | Counselor | 91 Schraffts Dr, Waterbury, CT 06705-3271 | 2017-01-10 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1114383627 | Rhinehart Counseling Services | Counselor | 73 Mohawk St Apt A, Waterbury, CT 06706-1911 | 2016-01-13 |
| 1760847263 | Ashley Zavalko | Counselor | 247 Circular Ave, Waterbury, CT 06705-2115 | 2015-12-28 |
| 1205200672 | Tia Sharmaine Rhinehart | Counselor | 182 Grand St Ste 314, Waterbury, CT 06702-1914 | 2015-11-21 |
| 1194130112 | Learning To Live Life, LLC | Counselor | 182 Grand St, Suite 420-422, Waterbury, CT 06702-1914 | 2014-06-28 |
| 1245594159 | Jose Eduardo Crego | Counselor | 969 W Main St Ste 1d, Waterbury, CT 06708-2667 | 2012-06-26 |
| 1265741821 | Michael Dutko | Counselor | 230 Frost Rd, Waterbury, CT 06705-2154 | 2010-09-30 |
| Find all providers in WATERBURY | ||||
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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.