MS. CHRISTINE L DOUCETTE (NPI# 1609383934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609383934 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE L DOUCETTE |
| Credential | APRN |
| Practice Address |
133 Mountain Rd Ste 6 Suffield CT 06078-2084 |
| Mailing Address |
25 Hunter Ln Glastonbury CT 06033-1440 |
| Practice Telephone | 8602390480 |
| Practice Fax Number | 8602390486 |
| Mailing Telephone | 8605971180 |
| Mailing Fax Number | 8606573357 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
7418 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN2319616 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 167 Dwight Rd Ste 104, Longmeadow, MA 011061769 | 8602390524 | 8602390486 |
| Street Address |
133 MOUNTAIN RD STE 6 |
| City | SUFFIELD |
| State | CT |
| Zip Code | 06078-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710522990 | Psychiatric Services of Suffield, LLC | Clinic/Center | 133 Mountain Rd Ste 6, Suffield, CT 06078-2084 | 2019-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821645300 | Olga Tereshchuk | Physical Therapist | 230 Mountain Road, Suffield, CT 06078 | 2019-08-20 |
| 1699223198 | Alea Tardy | Social Worker | 58 Suffield Meadow Dr, Suffield, CT 06078 | 2016-09-14 |
| 1154679280 | Jacqueline Testa | Counselor | 133 Mountain Road, 2nd Floor, Suffield, CT 06078 | 2012-08-21 |
| 1003010836 | Amanda M Cuevas | Counselor | 49 Valley View Dr, Suffield, CT 06078 | 2007-06-14 |
| 1538259767 | Richard J Colo | Optometrist | 162 Mountain Road, Suffield, CT 06078 | 2006-10-16 |
| 1104848019 | Anil Mukund Mehta | Dentist | 681 East Street North, Suffield, CT 06078 | 2006-07-24 |
| 1407366388 | Dahlia Counseling Services, LLC | Counselor | 133 Mountain Road, 2nd Floor, Suffield, CT 06078 | 2017-10-05 |
| 1508387481 | Joseph C Coleman | Psychologist | 1151 East Street South, Suffield, CT 06078 | 2017-06-30 |
| 1477802841 | A.g.n. Dental Associates, P.C. | Dentist | 133 Mountain Road, Suffield, CT 06078 | 2012-08-31 |
| 1083919922 | Brett G Carra | Social Worker | 133 Mountain Rd, Suffield, CT 06078 | 2011-01-25 |
| Find all providers in zip 06078 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164935 | Sheneese Denelle Charles | Nurse Practitioner | 22 Victoria Rd, New Britain, CT 06052-1536 | 2020-11-03 |
| 1396345179 | Kate Hanselman | Nurse Practitioner | 224 Saint John St # 3l, New Haven, CT 06511-4917 | 2020-10-29 |
| 1518565399 | Gina Kolstad | Nurse Practitioner | 279 Quarry Rd # 2, Glastonbury, CT 06033-3406 | 2020-10-13 |
| 1043818966 | Shakeria C Brown | Nurse Practitioner | 567 Millville Ave Apt 3-10, Naugatuck, CT 06770-2337 | 2020-10-13 |
| 1154937910 | Gregory Guion | Nurse Practitioner | 2275 Silas Deane Highway, 2nd Floor, Rocky Hill, CT 06067-2343 | 2020-09-17 |
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1649888256 | Healthy Minds Pllc | Nurse Practitioner | 40 Russ St, Hartford, CT 06106-1520 | 2020-07-20 |
| 1174131205 | Kimberly Levitt | Nurse Practitioner | 466 Ridgebury Rd, Ridgefield, CT 06877-1228 | 2020-07-15 |
| 1801414602 | Georgina Twumasi Mental Health LLC | Nurse Practitioner | 29 Wildwood Cir, South Windsor, CT 06074-1700 | 2020-07-08 |
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| 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.