MELISSA LEIGH COSTANZO (NPI# 1750626032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750626032 |
| Entity Type | Individual |
| Full Name | MELISSA LEIGH COSTANZO |
| Credential | LMFT |
| Practice Address |
675 Tower Ave Suite 301 Hartford CT 06112-1273 |
| Practice Telephone | 8607142750 |
| Practice Fax Number | 8607148591 |
| Mailing Telephone | 8607142750 |
| Mailing Fax Number | 8607148591 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2015-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 00930 | CT | Behavioral Health & Social Service Providers |
| Street Address |
675 TOWER AVE SUITE 301 |
| City | HARTFORD |
| State | CT |
| Zip Code | 06112-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448878 | Kimberly L Beaulieu | Physician Assistant | 675 Tower Ave, Hartford, CT 06112-1264 | 2005-09-21 |
| 1053833475 | Mona Anne Chiurillo | Nurse Practitioner | 675 Tower Ave, Hartford, CT 06112-1273 | 2017-07-07 |
| 1457758179 | Shivanna Subramani Gonzalez | Nurse Practitioner | 675 Tower Ave, Hartford, CT 06112-1273 | 2014-11-24 |
| 1477846319 | Susana L Mealha | Social Worker | 675 Tower Ave, Suite 303, Hartford, CT 06112-1273 | 2011-05-25 |
| 1396038691 | Javeeria Manzoor | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2011-05-18 |
| 1912204504 | Elaine F Pratt | Nurse Practitioner | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2011-02-17 |
| 1053613752 | Community Renewal Team | Case Management | 675 Tower Ave, 303, Hartford, CT 06112-1273 | 2010-12-01 |
| 1144522160 | Community Renewal Team Inc. | Case Management | 675 Tower Ave, Hartford, CT 06451 | 2010-11-23 |
| 1154638815 | Mahreen Raza | Psychiatry & Neurology | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2010-09-01 |
| 1568775419 | Stacey Lynn Johnson | Social Worker | 675 Tower Ave, Suite 301, Hartford, CT 06112-1273 | 2010-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841810355 | Ashwin Mahesh | Student in an Organized Health Care Education/Training Program | 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 | 2020-04-24 |
| 1336600527 | Waleed Ibrahim | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 | 2019-03-29 |
| 1740741941 | Hajra Munawar | Student in an Organized Health Care Education/Training Program | Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 | 2019-03-29 |
| 1194191973 | Esther Wint | Nurse Practitioner | 490 Blue Ave, Hartford, CT 06112 | 2015-08-17 |
| 1194105700 | Michelle Russi | Physical Therapy Assistant | 490 Blue Hill Ave., Hartford, CT 06112 | 2015-06-09 |
| 1366858359 | Krysten N Marotta | Pharmacist | 1290 Albany Ave, Hartford, CT 06112 | 2014-07-10 |
| 1447403522 | Moon Hee Yoo | Psychiatry & Neurology | 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1992958094 | Roxann Marie Ellis-denby | Social Worker | 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 | 2008-11-03 |
| 1265590871 | The Connecticut Institute for The Blind | Intermediate Care Facility, Mentally Retarded | 120 Holcomb Street, Hartford, CT 06112 | 2006-12-05 |
| 1164580379 | Intercommunity, Inc. | Clinic/Center | 16 Coventry Street, Hartford, CT 06112 | 2006-12-04 |
| Find all providers in zip 06112 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515659 | Where Healing Begins LLC | Marriage & Family Therapist | 674 Prospect Ave Ste 102, Hartford, CT 06105-4288 | 2020-10-15 |
| 1376167890 | Natalie Nicole Patterson | Marriage & Family Therapist | 196 Holcomb St, Hartford, CT 06112-1433 | 2020-06-01 |
| 1073020574 | Amc Counseling Services, LLC | Marriage & Family Therapist | 100 Pearl Street, 14th Floor, Hartford, CT 06103 | 2018-01-05 |
| 1528504636 | Casiano Clinical Services, LLC | Marriage & Family Therapist | 19 May St, Hartford, CT 06105-1519 | 2017-01-12 |
| 1396289344 | Atlas Outlook | Marriage & Family Therapist | 1429 Park St, Reset First Floor, Hartford, CT 06106-2236 | 2016-12-10 |
| 1851718225 | Courage To Heal Counseling Services, LLC | Marriage & Family Therapist | 28 Grand St, Hartford, CT 06106-1506 | 2014-03-24 |
| 1376987834 | Marisol Acevedo Cruz LLC | Marriage & Family Therapist | 100 Wells St. Suite 2l, Bushnell On The Park, Hartford, CT 06103 | 2013-04-26 |
| 1114266830 | Aida M Vazquez Canidate | Marriage & Family Therapist | 100 Pearl St Fl 14, Hartford, CT 06103-4500 | 2013-02-01 |
| 1477818144 | Gail Tomala | Marriage & Family Therapist | 639 Franklin Ave, Hartford, CT 06114-3030 | 2012-07-09 |
| 1497901631 | Pathways Group | Marriage & Family Therapist | 674 Prospect Ave., Hartford, CT 06105 | 2008-08-07 |
| Find all providers in HARTFORD | ||||
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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.