HENRY ALTON ALLEN (NPI# 1659393999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659393999 |
Entity Type | Individual |
Full Name | HENRY ALTON ALLEN |
Credential | MD |
Practice Address |
949 Bridgeport Ave Milford CT 06460-3142 |
Mailing Address |
2 Salem Rd North Haven CT 06473-4447 |
Practice Telephone | 2038786365 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
017407 | CT | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
017407 | CT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004039244 | 05 | |
CT | MANAGED HEALTH NETWORK | 191068 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
291 Whitney Ave Ste 204, New Haven, CT 065113762 | 2037775049 | |
915 River Rd, Middletown, CT 064573921 | 8607044000 |
Street Address |
949 BRIDGEPORT AVE |
City | MILFORD |
State | CT |
Zip Code | 06460-3142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851350300 | Bridges Healthcare Inc. | Clinic/Center | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2006-03-22 |
1467059600 | Elizabeth Lobotsky | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2020-10-01 |
1679106546 | Erica Vaz | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2020-02-19 |
1508417619 | Luis T Rivera | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-09-20 |
1245892306 | Morgan Starr Radin | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-06-28 |
1033776695 | Colleen H Conroy | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-05-20 |
1003370313 | Lamont Dixon | Counselor | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2019-01-31 |
1801362454 | Jessica Frankel | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-10-22 |
1083190151 | Nicole Weston | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-07-12 |
1871079954 | Jennifer Downing | Social Worker | 949 Bridgeport Ave, Milford, CT 06460-3142 | 2018-07-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
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Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093752651 | John B. Levine | Psychiatry & Neurology | 14 Prospect Street, Milford, MA 01757-3003 | 2006-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649667106 | Ayodola Adigun | Psychiatry & Neurology | 200 Broad St Apt 2214, Stamford, CT 06901-2070 | 2015-04-22 |
1801209952 | Oscar A Gerdner | Psychiatry & Neurology | 167 Old Post Rd, Southport, CT 06890-1395 | 2014-06-06 |
1194165720 | H and B Quality Medical Care LLC | Psychiatry & Neurology | 2 Ivy Brook Rd Ste 120, Shelton, CT 06484-6416 | 2013-06-27 |
1659710242 | Ibrahim N. Orgun | Psychiatry & Neurology | 44 Craigemore Cir, Avon, CT 06001-3417 | 2013-06-18 |
1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
1689972382 | Satwant Ahluwalia | Psychiatry & Neurology | 13 Woods Way, Redding, CT 06896-3200 | 2011-03-03 |
1962647842 | Pamela Edie Hoffman | Psychiatry & Neurology | 230 S Frontage Rd # G112, New Haven, CT 06519-1124 | 2008-12-08 |
1649423567 | Susan Jane Finkelstein | Psychiatry & Neurology | 3 Sylvan Road South, Westport, CT 06880 | 2008-10-23 |
1205083359 | Robert Khalil | Psychiatry & Neurology | 7 Old Sherman Tpke Ste 102, Danbury, CT 06810-4174 | 2008-08-20 |
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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.