ETHAN BENNET SMITH


Address: 95 Circular Ave, Hamden, CT 06514-4004
Phone: 2032886253

ETHAN BENNET SMITH (NPI# 1659502490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659502490
Entity Type Individual
Full Name ETHAN BENNET SMITH
Credential MSW
Practice Address 95 Circular Ave
Hamden
CT 06514-4004
Mailing Address 94 Livingston St
Apt. 25
New Haven
CT 06511-2444
Practice Telephone 2032886253
Practice Fax Number 2032880948
Mailing Telephone 3014664646
Enumeration Date 2009-07-28
Last Update Date 2009-07-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
Ambulatory Health Care Facilities

Other Providers ETHAN SMITH

NPI Name Taxonomy Address Enumeration
1184151896 Ethan Smith Pharmacist 3304 Bonita Beach Road, Bonita Springs, FL 31434 2017-05-12
1801435599 Ethan John Smith Nurse Anesthetist, Certified Registered 9500 Euclid Ave, Cleveland, OH 44195-0001 2019-12-30
1144657966 Ethan Smith Social Worker 540 3rd St, Idaho Falls, ID 83401-3953 2013-10-11
1457477358 Ethan Andrew Smith Radiology 3333 Burnet Avenue, Ml 5031, Cincinnati, OH 45229-3026 2007-03-22

Office Location

Street Address 95 CIRCULAR AVE
City HAMDEN
State CT
Zip Code 06514-4004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215926852 Ezra Eh Griffith Psychiatry & Neurology 95 Circular Ave, Hamden, CT 06514-4004 2005-10-17
1912350844 Alexandra Shayne Mcknight Social Worker 95 Circular Ave, Hamden, CT 06514-4004 2016-07-15
1497106702 Matthew Brennan Social Worker 95 Circular Ave, Hamden, CT 06514-4004 2016-06-28
1437462645 Marissa Beth Kahn Social Worker 95 Circular Ave, Hamden, CT 06514-4004 2010-07-16
1134391824 Yale University Clinic/Center 95 Circular Ave, Hamden, CT 06514-4004 2008-04-02
1811171903 Nicole L Kikosicki Social Worker 95 Circular Ave, Hamden, CT 06514-4004 2007-12-26
1013999028 Susan Marie Brown Clinical Nurse Specialist 95 Circular Ave, Hamden, CT 06514-4004 2005-11-16
1063493849 Michael A Hoge Psychologist 95 Circular Ave, Hamden, CT 06514-4004 2005-11-09
1801877808 James L Scott Psychiatry & Neurology 95 Circular Ave, Hamden, CT 06514-4004 2005-11-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063062339 New Beginnings Behavioral Health LLC Social Worker 641 Gilbert Avenue, Hamden, CT 06514 2019-09-18
1376105767 Mcangel Home Visiting Nurses LLC Home Health 1135 Sherman Ave., Hamden, CT 06514 2019-07-05
1467926139 First Step Gentle Care Labor Doula Service Doula 20 Elliot Drive, Hamden, CT 06514 2019-01-16
1841781382 Clifford W. Beers Guidance Clinic Inc Clinic/Center 41 Marne St, Hamden, CT 06514 2018-05-21
1023513272 Ashley Nicole Miano Behavioral Analyst 60 Conway Parkway, Building 2b, Suite 110, Hamden, CT 06514 2018-03-29
1619485166 Hlc Partners LLC Clinic/Center 39 Marme St, Hamden, CT 06514 2018-01-18
1851832752 Kareise Caldwell Counselor 123 Pinerock, Hamden, CT 06514 2017-03-13
1417407255 Tempestt S Latham Dental Hygienist 158 Pearl Ave, Hamden, CT 06514 2016-10-05
1679945356 Carolina Nanetrivera Parrott Social Worker 180 Pine Rock Ave, Hamden, CT 06514 2015-10-21
1629446976 Ebun Aderibole Counselor 823 Pine Rock Ave, Hamden, CT 06514 2015-09-03
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639516032 Road To Wellness, LLC Clinic/Center 2911 Dixwell Ave, Suite B-5, Hamden, CT 06518-3195 2013-05-27
1205131059 Counseling Center for Elders and Families, LLC Clinic/Center 295 Washington Ave, Suite 5n, Hamden, CT 06518-3025 2011-01-25
1134391824 Yale University Clinic/Center 95 Circular Ave, Hamden, CT 06514-4004 2008-04-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841816956 Angela Olivia Roberts, Aprn, LLC Clinic/Center 427 Naubuc Ave Ste 101, Glastonbury, CT 06033-1082 2020-06-24
1437708708 Clean Rxeach LLC Clinic/Center 1506 Post Rd Ste 4, Fairfield, CT 06824-5916 2019-09-09
1447812250 Camellia Place Healthcare Services LLC Clinic/Center 100 Market Sq Ste 12, Newington, CT 06111-2921 2019-07-01
1427616077 Therigatha Center for Psychotherapy Clinic/Center 68 Bridge St Unit 301, Suffield, CT 06078-3108 2019-05-30
1942864145 Cynthia Leavitt, LLC Clinic/Center 39 New London Tpke Ste 316, Glastonbury, CT 06033-2061 2019-04-24
1285108498 Lana Lachance LLC Clinic/Center 346 Main St S Fl 2, Woodbury, CT 06798-3409 2019-01-22
1295215093 Mindful Therapy Studio LLC Clinic/Center 16 Rae Palmer Road, Moodus, CT 06423 2018-08-21
1356831960 Connecticut Counseling Centers Inc Clinic/Center 15 Commerce Rd Lowr 1, Stamford, CT 06902-4553 2018-05-18
1780189480 Connecticut Counseling Centers, Inc. Clinic/Center 290 Pratt St Ste 2312, Meriden, CT 06450-8600 2018-03-26
1750807426 The Connection Inc Clinic/Center 37 Garden St, Hartford, CT 06105-2129 2017-08-15
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Competitor

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City HAMDEN
Zip Code 06514

Improve Information

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Dataset Information

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.

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