JENNIFER CORRIDON (NPI# 1629483656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629483656 |
| Entity Type | Individual |
| Full Name | JENNIFER CORRIDON |
| Credential | PMHNP-BC |
| Practice Address |
22 5th St Stamford CT 06905-5030 |
| Practice Telephone | 2033238160 |
| Mailing Telephone | 2033238160 |
| Enumeration Date | 2014-06-28 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401720 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 E. 76th Street, New York, NY 10021 | 2129884400 |
| Street Address |
22 5TH ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06905-5030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205803962 | Ora Burstein | Specialist | 22 5th St, Third Floor, Stamford, CT 06905-5030 | 2006-03-01 |
| 1801418108 | Kate Carlucci | Nurse Practitioner | 22 5th St, Stamford, CT 06905-5030 | 2020-05-11 |
| 1518597954 | Kyra Ischer | Registered Nurse | 22 5th St, Stamford, CT 06905-5030 | 2020-01-24 |
| 1063051738 | Emily Calderone | Psychologist | 22 5th St, Stamford, CT 06905-5030 | 2019-12-30 |
| 1184271348 | Justin S Leas | Nurse Practitioner | 22 5th St, Stamford, CT 06905-5030 | 2019-08-22 |
| 1457822934 | Community Health Center Inc | Clinic/Center | 22 5th St, Stamford, CT 06905-5030 | 2018-12-10 |
| 1467895995 | Craig C. Clabaugh | Dentist | 22 5th St, Stamford, CT 06905-5030 | 2013-04-15 |
| 1801160833 | Breese Tomick | Social Worker | 22 5th St, Penthouse, Stamford, CT 06905-5030 | 2012-03-08 |
| 1700158441 | Helen Collins | Social Worker | 22 5th St, Penthouse Suite, Stamford, CT 06905-5030 | 2012-01-26 |
| 1609155308 | Karen H Brody, Md, LLC | Psychiatry & Neurology | 22 5th St, Stamford, CT 06905-5030 | 2011-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367272 | Smartport LLC | Non-emergency Medical Transport (VAN) | C/o Mollo, 1111 Summer St, Stamford, CT 06905 | 2020-05-13 |
| 1245889096 | Anna Diamantis | Counselor | 1200 High Ridge Road, 2nd Floor, Stamford, CT 06905 | 2019-09-04 |
| 1871150409 | Connecticut Anesthesia Associates LLC | Anesthesiology | 1177 High Ridge Road, Stamford, CT 06905 | 2019-05-20 |
| 1518447887 | Alexandra Petrov | Lactation Consultant, Non-RN | 42 Riverside Ave, Stamford, CT 06905 | 2018-08-16 |
| 1235640327 | A&s Chemists LLC | Pharmacy | 910 Summer Ave, Stamford, CT 06905 | 2017-10-17 |
| 1659805117 | Evolution Physical Therapy, LLC | Clinic/Center | 7 Reynolds Ave, Stamford, CT 06905 | 2017-04-11 |
| 1326587841 | Karen Poggi | Speech-Language Pathologist | 30 Buxton Farm Rd., Suite 230, Stamford, CT 06905 | 2017-02-16 |
| 1811434871 | Christina Skuburids, LLC | Point of Service | 2043 Bedford Street, Stamford, CT 06905 | 2017-01-27 |
| 1669833513 | Christian Alvarez | Occupational Therapist | 15 First St Unit 1, Stamford, CT 06905 | 2016-03-18 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| Find all providers in zip 06905 | ||||
| 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 |
|---|---|---|---|---|
| 1356978688 | Rachel Feit | Nurse Practitioner | 63 Pine Tree Dr, Stamford, CT 06906-1529 | 2020-03-25 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1265704357 | Recovery and Health Source LLC | Nurse Practitioner | 143 Hoyt St, 4b, Stamford, CT 06905-5759 | 2012-02-03 |
| 1528337953 | Charlene Winkelman Milkey | Nurse Practitioner | 143 Hoyt St Apt 4b, Stamford, CT 06905-5741 | 2011-12-13 |
| 1043793565 | Princess Doris Dakpui | Nurse Practitioner | 141 Franklin St, Stamford, CT 06902-1014 | 2018-09-11 |
| 1164857249 | Kathleen M Stuart | Nurse Practitioner | 1 Hospital Plz, Stamford, CT 06902-3602 | 2013-09-09 |
| 1386084713 | Nami Khwakhali | Nurse Practitioner | 1351 Washington Blvd, Stamford, CT 06902-2419 | 2013-06-29 |
| 1700062239 | Marie T Thrasher | Nurse Practitioner | 666 Glenbrook Rd, Suite 2c, Stamford, CT 06906-1439 | 2008-01-15 |
| 1407976434 | Linda Pettei | Nurse Practitioner | One Hospital Plaza, Stamford, CT 06904 | 2007-03-31 |
| 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 |
| 1255966222 | Medica Today LLC | Nurse Practitioner | 555 Highland Ave Ste 23, Cheshire, CT 06410-2255 | 2020-03-10 |
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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.