DR. MARK S BRAUNSDORF (NPI# 1770621310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770621310 |
| Entity Type | Individual |
| Full Name | DR. MARK S BRAUNSDORF |
| Credential | PH.D. |
| Practice Address |
664 Prospect Ave Hartford CT 06105-4203 |
| Mailing Address |
235 Scenic Ct Cheshire CT 06410-1853 |
| Practice Telephone | 8602317072 |
| Practice Fax Number | 2032727121 |
| Mailing Telephone | 8602317072 |
| Mailing Fax Number | 2032727121 |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 1739 | CT | Behavioral Health & Social Service Providers |
| Street Address |
664 PROSPECT AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073552865 | Diane M Bray | Clinical Nurse Specialist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2006-06-06 |
| 1245681386 | Carlita Francine Elias | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2016-06-30 |
| 1245561463 | Avalon Psychological Group, P.C. | Psychologist | 664 Prospect Ave, Hartford, CT 06105-4203 | 2010-01-28 |
| 1407083843 | Jeffrey A Asmar LLC | Community/Behavioral Health | 664 Prospect Ave, Hartford, CT 06105-4203 | 2009-06-11 |
| 1588828644 | Catherine Tufano | Counselor | 664 Prospect Ave, Hartford, CT 06105 | 2008-07-17 |
| 1720255862 | Jessica G Lyons | Social Worker | 664 Prospect Ave, 2nd Floor, Hartford, CT 06105-4203 | 2008-05-08 |
| 1144402033 | Steven M Katz, Md,llc | Psychiatry & Neurology | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-12-03 |
| 1841412186 | Cynthia R Leach | Social Worker | 664 Prospect Ave, Hartford, CT 06105 | 2007-05-03 |
| 1407971971 | Cordelia K Hatheway | Counselor | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-03-20 |
| 1386790392 | Ruth Hofstatter | Counselor | 664 Prospect Ave, Hartford, CT 06105-4203 | 2007-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386078442 | Rocio Chang-angulo | Psychologist | 2074 Park St Ste 203, Hartford, CT 06106-2060 | 2013-08-26 |
| 1366503906 | Rafael Mora De Jesus | Psychologist | 210 Wethersfield Ave, Hartford, CT 06114-1113 | 2006-12-13 |
| 1679632525 | Michael David Kahn | Psychologist | 660 Prospect Avenue, Hartford, CT 06105 | 2006-12-07 |
| 1609946581 | Deborah Ann Doherty | Psychologist | 639 Prospect Ave, Hartford, CT 06105-4276 | 2006-11-08 |
| 1023195864 | Deborah Jean Stack | Psychologist | 682 Prospect Avenue, Hartford, CT 06105 | 2006-11-01 |
| 1386661841 | Elizabeth Leah Vitale | Psychologist | 682 Prospect Ave., Hartford, CT 06105-4238 | 2006-07-17 |
| 1922074343 | Kimberly M. Daniels | Psychologist | 682 Prospect Ave, Hartford, CT 06105-4238 | 2006-02-25 |
| 1245866623 | Rachel Tirnady | Psychologist | 76 New Britain Ave, Hartford, CT 06106-3305 | 2020-03-18 |
| 1427696202 | Kimberly M Daniels LLC | Psychologist | 682 Prospect Ave, Hartford, CT 06105-4238 | 2019-12-12 |
| 1235784372 | Kimberly Toby Stevens | Psychologist | 200 Retreat Ave, Hartford, CT 06114 | 2019-08-06 |
| 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.