CONNECTICUT RENAISSANCE, INC. (NPI# 1700893807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700893807 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT RENAISSANCE, INC. |
| Practice Address |
141 Franklin St Stamford CT 06901-1014 |
| Mailing Address |
350 Fairfield Ave Suite 701 Bridgeport CT 06604-6014 |
| Practice Telephone | 2036024441 |
| Practice Fax Number | 2036027782 |
| Mailing Telephone | 2033365225 |
| Mailing Fax Number | 2032262851 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-07-08 |
| Authorized Official Name | JOY NICOLE PENDOLA (COO) |
| Authorized Official Telephone | 2033365225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
C-0266 | CT | Ambulatory Health Care Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
SA-0188 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004214277 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194069708 | Connecticut Renaissance, Inc. | Clinic/Center | 1126 Main St, Bridgeport, CT 06604-4404 | 2012-11-20 |
| 1700352721 | Connecticut Renaissance, Inc. | Clinic/Center | 527 Wolcott St, Waterbury, CT 06705-1240 | 2018-10-17 |
| 1144510694 | Connecticut Renaissance, Inc. | Clinic/Center | 17 High St, Norwalk, CT 06851-4723 | 2011-04-18 |
| 1669617973 | Connecticut Renaissance, Inc. | Clinic/Center | 70 Central Ave, Waterbury, CT 06702-1207 | 2008-12-16 |
| 1215188826 | Connecticut Renaissance, Inc. | Counselor | 115 Middle St, Bridgeport, CT 06604-4410 | 2008-10-02 |
| 1720130362 | Connecticut Renaissance, Inc. | Clinic/Center | 1 Lafayette Cir, Bridgeport, CT 06604-6021 | 2007-01-16 |
| 1740297845 | Connecticut Renaissance, Inc. | Clinic/Center | 1120 Main St, Bridgeport, CT 06604-4404 | 2006-08-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONNECTICUT RENAISSANCE, INC | 1 Waterview Dr Ste 202, Shelton, CT 06484-4368 |
| Connecticut Business Registrations | CONNECTICUT RENAISSANCE, INC. | 350 Fairfield Ave., Ste. 701, Bridgeport, CT 06604 |
| Street Address |
141 FRANKLIN ST |
| City | STAMFORD |
| State | CT |
| Zip Code | 06901-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417595117 | Daniela Attanasio Garcia | Counselor | 141 Franklin St, Stamford, CT 06901-1014 | 2019-12-13 |
| 1043793565 | Princess Doris Dakpui | Nurse Practitioner | 141 Franklin St, Stamford, CT 06902-1014 | 2018-09-11 |
| 1114419256 | Denise E Groothuis | Dietitian, Registered | 141 Franklin St, Stamford, CT 06901-1014 | 2018-06-05 |
| 1578957916 | Safia Hussain | Dietitian, Registered | 141 Franklin St, Stamford, CT 06901-1014 | 2015-03-24 |
| 1992197560 | Robert Di Roma II | Counselor | 141 Franklin St, Stamford, CT 06901-1014 | 2015-02-19 |
| 1932522000 | Dayna Dibiasi | Social Worker | 141 Franklin St, Stamford, CT 06901-1014 | 2014-01-27 |
| 1003255274 | Chelsea Mcintosh | Psychologist | 141 Franklin St, Stamford, CT 06902-5113 | 2013-06-20 |
| 1083989628 | Heather K Mazarakos | Counselor | 141 Franklin St, Stamford, CT 06901-1014 | 2012-03-15 |
| 1093086860 | Paul Arevelo | Counselor | 141 Franklin St, Stamford, CT 06901-1014 | 2012-01-25 |
| 1871873299 | Sasha Mitten | Social Worker | 141 Franklin St, Stamford, CT 06902-5113 | 2011-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174176705 | Asnis Dental of Connecticut LLC | Dentist | 54 West Park Place, Stamford, CT 06901 | 2019-07-23 |
| 1588224885 | Sheikh M Zakaria | Pharmacist | 922 Washington Boulevard, Stamford, CT 06901 | 2019-06-18 |
| 1659861482 | Amanda Margaret Alon | Dentist | 127 Greylock Place, Stamford, CT 06901 | 2018-05-17 |
| 1821406851 | Bushra Helmandi | Chiropractor | 163 Franklin St, Apt 206, Stamford, CT 06901 | 2014-07-22 |
| 1629483912 | Nancy Ozuna | Registered Nurse | 707 Summer St, 4floor, Stamford, CT 06901 | 2014-06-25 |
| 1104162825 | Angelic Healthcare LLC | Home Health | 43 Dolsen Place Apt. 2, Stamford, CT 06901 | 2012-12-28 |
| 1477857597 | Vanessa L Love | Counselor | 76 Progress Drive #249d, Stamford, CT 06901 | 2011-01-04 |
| 1457651283 | Lukas A Konandreas | Pediatrics | 660 Bedford St, Stamford, CT 06901 | 2010-10-27 |
| 1750583399 | Amanda W Pong | Psychiatry & Neurology | 50 Forest St, Apt 1421, Stamford, CT 06901 | 2007-06-05 |
| 1588748511 | Helene Strazza | Dentist | 127 Greyrock Place, Stamford, CT 06901 | 2006-10-25 |
| Find all providers in zip 06901 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| 1053501684 | Helping Hand Center Inc. | Clinic/Center | 1124 Iranistan Avenue, Helping Hand Center, Bridgeport, CT 06605-1121 | 2007-07-30 |
| 1073679445 | Apt Foundation, Inc | Clinic/Center | 352 State St, North Haven, CT 06473-3108 | 2006-12-29 |
| 1265449359 | Connecticut Renaissance, Inc | Clinic/Center | 4 Byington Pl, Norwalk, CT 06850-3309 | 2006-08-02 |
| 1669944724 | Progressive Institute LLC | Clinic/Center | 2 Trap Falls Rd Ste 120, Shelton, CT 06484-4616 | 2018-12-28 |
| 1700384856 | Tricircle, Inc. | Clinic/Center | 6 Way Rd, Middlefield, CT 06455-1080 | 2018-01-24 |
| 1770097867 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-28 |
| 1508305806 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1598204893 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1982155859 | Apt Foundation Inc. | Clinic/Center | 184 Front Ave, West Haven, CT 06516-2836 | 2016-10-17 |
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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.