KRISTEN BIRMINGHAM (NPI# 1699313593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699313593 |
| Entity Type | Individual |
| Full Name | KRISTEN BIRMINGHAM |
| Credential | LADC |
| Practice Address |
276 Highland Ave Waterbury CT 06708-3022 |
| Mailing Address |
46 Barbara Lane Plantsville CT 06479 |
| Practice Telephone | 8603028671 |
| Mailing Telephone | 8609194815 |
| Mailing Fax Number | 8773468993 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000033 | CT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
276 HIGHLAND AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405282 | Martin Desomma | Chiropractor | 276 Highland Ave, Waterbury, CT 06708-3022 | 2005-05-31 |
| 1407492523 | Anna P Cherian | Nurse Practitioner | 276 Highland Ave, Waterbury, CT 06708-3022 | 2019-11-24 |
| 1992363931 | Teresa Ann Vollmart Nevin | Nurse Practitioner | 276 Highland Ave, Waterbury, CT 06708-3022 | 2019-06-04 |
| 1194219998 | Kimberly Ann Thurz | Nurse Practitioner | 276 Highland Ave, Waterbury, CT 06708-3022 | 2018-06-15 |
| 1093255010 | Save Girls On Fyer Inc | Social Worker | 276 Highland Ave, Waterbury, CT 06708-3022 | 2017-02-24 |
| 1356642540 | Michael A Mandino Jr D.d.s Dr Louis A Juliano D.d.s. LLC | Dentist | 276 Highland Ave, Waterbury, CT 06708-3022 | 2010-11-04 |
| 1831214642 | Michael Howard Rutberg | Dentist | 276 Highland Ave, Second Floor, Waterbury, CT 06708-3022 | 2007-03-20 |
| 1326102674 | Louis Anthony Juliano | Dentist | 276 Highland Ave, Waterbury, CT 06708-3022 | 2006-12-21 |
| 1144384728 | Michael Anthony Mandino Jr. | Dentist | 276 Highland Ave, Waterbury, CT 06708 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366051468 | Evan Hunter Jr. | Counselor | 53 Hawthorne Ave, Waterbury, CT 06708-4614 | 2020-07-24 |
| 1467998674 | Abundant Life Counseling LLC | Counselor | 21 W Main St Fl 4, Waterbury, CT 06702-2013 | 2017-01-11 |
| 1386180768 | Tariq M Abdulaziz | Counselor | 91 Schraffts Dr, Waterbury, CT 06705-3271 | 2017-01-10 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1114383627 | Rhinehart Counseling Services | Counselor | 73 Mohawk St Apt A, Waterbury, CT 06706-1911 | 2016-01-13 |
| 1760847263 | Ashley Zavalko | Counselor | 247 Circular Ave, Waterbury, CT 06705-2115 | 2015-12-28 |
| 1205200672 | Tia Sharmaine Rhinehart | Counselor | 182 Grand St Ste 314, Waterbury, CT 06702-1914 | 2015-11-21 |
| 1194130112 | Learning To Live Life, LLC | Counselor | 182 Grand St, Suite 420-422, Waterbury, CT 06702-1914 | 2014-06-28 |
| 1245594159 | Jose Eduardo Crego | Counselor | 969 W Main St Ste 1d, Waterbury, CT 06708-2667 | 2012-06-26 |
| 1265741821 | Michael Dutko | Counselor | 230 Frost Rd, Waterbury, CT 06705-2154 | 2010-09-30 |
| Find all providers in WATERBURY | ||||
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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.