DR. SUBBARAO BOLLEPALLI (NPI# 1720154198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720154198 |
| Entity Type | Individual |
| Full Name | DR. SUBBARAO BOLLEPALLI |
| Other Name | DR. BOLLEPALLI SUBARRAO |
| Credential | M.D |
| Practice Address |
97 Barnes Rd Suite #2 Wallingford CT 06492-1885 |
| Practice Telephone | 2036795605 |
| Practice Fax Number | 2032357413 |
| Mailing Telephone | 2036795605 |
| Mailing Fax Number | 2032357413 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
021182 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
97 BARNES RD SUITE #2 |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234331 | Sherwin Borsuk | Radiology | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2005-12-04 |
| 1780152173 | Ashley Tighe | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2018-11-05 |
| 1497959035 | Amy Platt | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2007-06-14 |
| 1225151822 | Masonicare Home Health and Hospice, Inc. | Hospice Care, Community Based | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2007-04-09 |
| 1841369717 | Erik Olsen | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-11-07 |
| 1649352469 | Jeffrey Jennings | Pediatrics | 97 Barnes Rd, Suite #6, Wallingford, CT 06514 | 2006-10-20 |
| 1962500504 | Kevin M Connellan | Physical Therapist | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-09-20 |
| 1912936246 | Harold S Wilkes | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
| 1720017049 | George Spivack | Internal Medicine | 97 Barnes Rd, Wallingford, CT 06492-1885 | 2006-06-30 |
| 1477517548 | Miriam Susan Cohen | Pediatrics | 97 Barnes Rd, Ste 6, Wallingford, CT 06492-1885 | 2006-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366428831 | Javier Salabarria | Psychiatry & Neurology | 67 Masonic Ave, Wallingford, CT 06492-3095 | 2005-12-16 |
| 1992781488 | Masonicare Behavioral Health, LLC | Psychiatry & Neurology | 67 Masonic Ave, 1st Floor, Wallingford, CT 06492-3095 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174565253 | Raveen Mehendru | Psychiatry & Neurology | Hartford Hospital Geriatric Psychiatry, 200 Retreat Avenue, Hartford, CT 06106 | 2006-06-12 |
| 1568014728 | Step Up Behavioral Care PC LLC | Psychiatry & Neurology | 111 Westcott Rd, Danielson, CT 06239-2929 | 2019-07-09 |
| 1407375363 | Connecticut Geriatric Neuropsychiatry, LLC | Psychiatry & Neurology | 558 Hopmeadow St, Simsbury, CT 06070-2415 | 2017-09-12 |
| 1457641805 | Unique Approach, LLC | Psychiatry & Neurology | 464 Wolcott Rd, Attn: Jonathan Brenes, Wolcott, CT 06716-2626 | 2011-04-19 |
| 1801186846 | Brandon Yarns | Psychiatry & Neurology | 300 George St Ste 901, New Haven, CT 06511-6662 | 2011-04-11 |
| 1275769549 | Isis Burgos-chapman | Psychiatry & Neurology | 400 Columbus Ave, New Haven, CT 06519-1233 | 2009-06-01 |
| 1225219108 | Shragit Glazman | Psychiatry & Neurology | 55 Hatchetts Hill Rd, Old Lyme, CT 06371 | 2007-11-19 |
| 1487710141 | Naomi Marta Mendelovicz | Psychiatry & Neurology | 365 Montauk Ave, New London, CT 06320-4700 | 2006-12-28 |
| 1427169549 | Julian Offsay | Psychiatry & Neurology | 200 Retreat Avenue, Hartford Hospital Psychiatry Dept, Hartford, CT 06106 | 2006-08-31 |
| 1457462673 | Maria Ditomasso | Psychiatry & Neurology | 88 Grandview Avenue, Waterbury, CT 06708-2509 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.