KATHERINE ANNE DESTEFANO (NPI# 1639495559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639495559 |
| Entity Type | Individual |
| Full Name | KATHERINE ANNE DESTEFANO |
| Practice Address |
6 Devine St Suite 2b North Haven CT 06473-2195 |
| Practice Telephone | 2032876100 |
| Practice Fax Number | 2032876101 |
| Mailing Telephone | 2032876100 |
| Mailing Fax Number | 2032876101 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2015-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
53818 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997649 | Katherine Destefano | Social Worker | 326 Adams Ave, Scranton, PA 18503-1604 | 2017-08-10 |
| Street Address |
6 DEVINE ST SUITE 2B |
| City | NORTH HAVEN |
| State | CT |
| Zip Code | 06473-2195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921297 | Vaidehi R Chowdhary | Internal Medicine | 6 Devine St, North Haven, CT 06473 | 2006-02-16 |
| 1659993798 | Sara Anastasio | Nurse Practitioner | 6 Devine St, North Haven, CT 06473-2195 | 2020-05-12 |
| 1386275014 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 6 Devine St, North Haven, CT 06473-2195 | 2020-01-31 |
| 1508428889 | Ahmed Hasan R Althobaiti | Student in an Organized Health Care Education/Training Program | 6 Devine St, North Haven, CT 06473-2195 | 2019-07-08 |
| 1073170478 | Scott Bourret | Pharmacist | 6 Devine St, North Haven, CT 06473-2195 | 2019-05-22 |
| 1215445440 | Matthew Ryan Lincoln | Psychiatry & Neurology | 6 Devine St, North Haven, CT 06473-2195 | 2018-01-23 |
| 1063868859 | Veronica Azmy Meawad | Student in an Organized Health Care Education/Training Program | 6 Devine St, North Haven, CT 06473-2195 | 2016-05-11 |
| 1255743217 | Junghee Jenny Shin | Allergy & Immunology | 6 Devine St, North Haven, CT 06473-2195 | 2014-05-27 |
| 1871938886 | Sabrina L. Browning | Internal Medicine | 6 Devine St, North Haven, CT 06473-2195 | 2013-05-03 |
| 1619255411 | Jason Kwah | Allergy & Immunology | 6 Devine St, North Haven, CT 06473-2195 | 2011-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043823347 | Yunmin Chen | Nurse Practitioner | 269 Spring Rd, North Haven, CT 06473 | 2020-08-26 |
| 1467944884 | Julian Cano | Acupuncturist | 444b Washington Ave, North Haven, CT 06473 | 2018-06-01 |
| 1487195848 | Wigtowne | Durable Medical Equipment & Medical Supplies | 117 Washington Ave., North Haven Shopping Cntr, North Haven, CT 06473 | 2017-03-17 |
| 1528415205 | Laura Michelle Delucia | Social Worker | 451 State St., North Haven, CT 06473 | 2016-05-23 |
| 1356702153 | Technical Gas Products, Inc. | Durable Medical Equipment & Medical Supplies | 1510 Canton Center Dr, Baltimore, MD 06473 | 2016-03-08 |
| 1043600687 | John Maltagliati | Pharmacy Technician | 200 Universal Dr. North, North Haven, CT 06473 | 2015-02-04 |
| 1184025603 | Hollyann C Mcnabola | Social Worker | 130 Washington Avenue, Upper Level, North Haven, CT 06473 | 2014-09-16 |
| 1194136648 | Carol Hogan | Speech-Language Pathologist | 54 Potter Rd, North Haven, CT 06473 | 2014-05-17 |
| 1376961946 | Jared R Langerman | Otolaryngology | 31 Broadway Fl 2, North Haven, CT 06473 | 2014-04-01 |
| 1396174280 | Azeez O Oladejo | Pharmacist | 2 Universal Drive North, North Haven, CT 06473 | 2013-11-01 |
| Find all providers in zip 06473 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164741260 | Adeniyi Fisayo | Psychiatry & Neurology | 6 Devine St, Suite 2b, Yale Neurology, North Haven, CT 06473 | 2010-05-28 |
| 1922015643 | Adam Seth Mednick | Psychiatry & Neurology | 2 Broadway, North Haven, CT 06473-2349 | 2006-08-02 |
| 1073594503 | Greg W. Morgan | Psychiatry & Neurology | 8 Devine St, North Haven, CT 06473-2172 | 2005-11-10 |
| 1215445440 | Matthew Ryan Lincoln | Psychiatry & Neurology | 6 Devine St, North Haven, CT 06473-2195 | 2018-01-23 |
| 1730288697 | Ct Comprehensive Neurologic Management, LLC | Psychiatry & Neurology | 2 Broadway, North Haven, CT 06473-2349 | 2006-09-21 |
| 1619934130 | Lori J. Cretella | Psychiatry & Neurology | 6 Devine St, North Haven, CT 06473-2195 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790165173 | Editha Johnson | Psychiatry & Neurology | 85 Seymour St # 825, Hartford, CT 06106-5501 | 2015-06-01 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1366850521 | Mendelsohn Medical LLC | Psychiatry & Neurology | 18 Pinewood Shrs, Sherman, CT 06784-2505 | 2014-07-31 |
| 1356758387 | Idaira Aguilar Tejedor | Psychiatry & Neurology | 99 Hawley Ln Ste 1120, Stratford, CT 06614-1208 | 2014-07-22 |
| 1871908871 | Veeresh Kumar Nanjangud Shivamurthy | Psychiatry & Neurology | 1000 Asylum Ave Ste 4304, Hartford, CT 06105-1704 | 2014-06-27 |
| 1831503101 | Sarah Meira Benchaya | Psychiatry & Neurology | 80 Seymour Street #jb 604, Hartford, CT 06102 | 2014-06-16 |
| 1285048538 | Lucas Meira Benchaya | Psychiatry & Neurology | 80 Seymour St # Jb604, Hartford, CT 06102-8000 | 2014-06-15 |
| 1255742326 | Stephanie Felicia Alessi-larosa | Psychiatry & Neurology | 80 Seymour St. Jb 604, University of Connecticut/hartford Hospital, Hartford, CT 06102 | 2014-05-12 |
| 1811316250 | Leon Meytin | Psychiatry & Neurology | 280 S Main St Ste 102, Cheshire, CT 06410-3112 | 2014-04-14 |
| 1659701225 | Arthur Taub | Psychiatry & Neurology | 30 Conrad Dr, New Haven, CT 06515-2408 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HAVEN |
| Zip Code | 06473 |
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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.