HEALTHDRIVE BEHAVIORAL HEALTH SERVICES, PLLC


Address: 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568
Phone: 8889646681

HEALTHDRIVE BEHAVIORAL HEALTH SERVICES, PLLC (NPI# 1760909279) 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) 1760909279
Entity Type Organization
Organization Name HEALTHDRIVE BEHAVIORAL HEALTH SERVICES, PLLC
Practice Address 101 Centerpoint Dr Ste 215
Middletown
CT 06457-7568
Mailing Address 100 Crossing Blvd
Suite 300
Framingham
MA 01702-5555
Practice Telephone 8889646681
Practice Fax Number 8886620859
Mailing Telephone 6179646681
Mailing Fax Number 3396862561
Enumeration Date 2017-08-25
Last Update Date 2019-12-31
Authorized Official Name RICARDO A MUJICA (PRESIDENT)
Authorized Official Telephone 4135921980
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
N 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers
N 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
Allopathic & Osteopathic Physicians
Y 2084P0805X Psychiatry & Neurology
Specialization: Geriatric Psychiatry
Allopathic & Osteopathic Physicians

Office Location

Street Address 101 CENTERPOINT DR STE 215
City MIDDLETOWN
State CT
Zip Code 06457-7568

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679504161 Jeffrey L. Morer, Od, PC Optometrist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2006-07-05
1790278828 Madison Stevens Dental Hygienist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2018-06-13
1063670016 Michael D A Cicero Podiatrist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2008-05-27
1316136831 Healthdrive Audiology Group, PC Audiologist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2007-10-22
1225227747 Healthdrive Audiology Group, PC Audiologist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2007-10-22
1225229271 Mobile Audiology Associates, P.C. Hearing Instrument Specialist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2007-08-06
1134310188 Healthdrive Podiatry Group, PC Prosthetic/Orthotic Supplier 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2007-08-06
1679789192 Josana Joseph Podiatrist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2007-05-14
1760590608 Jeffrey L. Morer, Od, PC Technician/Technologist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2006-08-29
1851409791 Alec H. Jaret, Dmd, PC Dental Hygienist 101 Centerpoint Dr Ste 215, Middletown, CT 06457-7568 2006-08-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699391961 Meghan Harrington Behavior Technician 101 Centerpoint Drive #243, Middletown, CT 06457 2020-06-22
1427619626 Collaborative Aba Services, LLC Behavioral Analyst 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 2019-06-27
1376100339 Kimberly Tynik Pharmacist 451 Fowler Ave, Middletown, CT 06457 2019-05-24
1184101263 Tabrez Adil Dentist 675 Main St., Middletown, CT 06457 2018-07-23
1326535337 Rehan Khan Non-emergency Medical Transport (VAN) 765 Country Club Rd, Middletown, CT 06457 2018-04-16
1366950206 State of Connecticut Psychiatric Hospital 70 O'brien Drive, Middletown, CT 06457 2018-01-12
1902324536 Cynthia Tine Physical Therapy Assistant 628 Congdon Street, Middletown, CT 06457 2017-09-04
1619494390 Nathan Douglas Roy Specialist/Technologist 431 Briarwood Lane, Middletown, CT 06457 2017-08-24
1598286502 Rachel Hoffman Whelen Registered Nurse 420 Saybrook Road, Suite A, Middletown, CT 06457 2017-06-29
1003358326 Rebecca Rotondo Social Worker 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 2016-11-17
Find all providers in zip 06457

Taxonomy Information

Taxonomy Code 2084P0805X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Geriatric Psychiatry

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174565253 Raveen Mehendru Psychiatry & Neurology Hartford Hospital Geriatric Psychiatry, 200 Retreat Avenue, Hartford, CT 06106 2006-06-12
1366428831 Javier Salabarria Psychiatry & Neurology 67 Masonic Ave, Wallingford, CT 06492-3095 2005-12-16
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
1720154198 Subbarao Bollepalli Psychiatry & Neurology 97 Barnes Rd, Suite #2, Wallingford, CT 06492-1885 2006-11-28
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Competitor

Search similar providers

City MIDDLETOWN
Zip Code 06457

Improve Information

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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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