DR. TRACI D NIX (NPI# 1710959101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710959101 |
Entity Type | Individual |
Full Name | DR. TRACI D NIX |
Credential | PSYD |
Practice Address |
194 Fountain St New Haven CT 06515 |
Mailing Address |
194 Fountain St New Haven CT 06515-1902 |
Practice Telephone | 2065792305 |
Mailing Telephone | 2065792305 |
Enumeration Date | 2006-02-01 |
Last Update Date | 2008-04-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
20041928A | IN | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200473540A | 05 |
Street Address |
194 FOUNTAIN ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
1942324389 | New Haven Health Care | Nursing Facility/Intermediate Care Facility | 34 Level St, New Haven, CT 06515-1017 | 2007-03-19 |
Find all providers in zip 06515 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
1679044424 | Mackenzie Rae Peltier | Psychologist | 9 Wooster Pl Apt 2, New Haven, CT 06511-6969 | 2018-12-05 |
1184120024 | Francis Xavier Gregory | Psychologist | 900 Chapel St Ste 1212, New Haven, CT 06510-2806 | 2018-03-31 |
1750813366 | Maureen S Thomas | Psychologist | 156 Lenox St, New Haven, CT 06513-4405 | 2017-04-02 |
1548709629 | Rebecca Miller | Psychologist | 34 Park St Rm 271b, New Haven, CT 06519-1109 | 2017-02-22 |
1295138717 | Parastoo Pamela Ghazi | Psychologist | 14 Trumbull St # 112, New Haven, CT 06511-6312 | 2014-09-29 |
1689075855 | Emily B Ansell | Psychologist | 2 Church St S Ste 209, New Haven, CT 06519-1717 | 2014-09-08 |
1124428313 | Scuddy Fontenelle Iv | Psychologist | 40 Temple St Ste 7d, New Haven, CT 06510-2715 | 2014-08-26 |
Find all providers in NEW HAVEN |
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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.