DR. TRACI D NIX


Address: 194 Fountain St, New Haven, CT 06515
Phone: 2065792305

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
20041928A IN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200473540A 05

Office Location

Street Address 194 FOUNTAIN ST
City NEW HAVEN
State CT
Zip Code 06515

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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
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City NEW HAVEN
Zip Code 06515

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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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