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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
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 |
Street Address |
95 CIRCULAR AVE |
City | HAMDEN |
State | CT |
Zip Code | 06514-4004 |
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 |
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 |
Find all providers in zip 06514 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
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] |
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 |
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 |
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.