MR. MATTHEW JOHN ABBOTT (NPI# 1790734986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790734986 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW JOHN ABBOTT |
| Credential | MSW |
| Practice Address |
871 State St New Haven CT 06511-3923 |
| Mailing Address |
40 Cortina Rd East Haven CT 06513-1305 |
| Practice Telephone | 2037872111 |
| Practice Fax Number | 2033979077 |
| Mailing Telephone | 2034663153 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620263 | Matthew R Abbott | Pharmacist | 8 N Cavalier Dr Ste A, Alamo, TN 38001-6468 | 2019-10-16 |
| 1417572959 | Matthew Abbott | Psychiatry & Neurology | 1120 15th St, Augusta, GA 30912-0006 | 2020-06-10 |
| 1770045718 | Matthew Ryan Abbott | Student in an Organized Health Care Education/Training Program | 2301 Erwin Rd, Durham, NC 27705-4699 | 2019-04-01 |
| 1518486612 | Matthew Abbott | Social Worker | 8931 Huron St, Thornton, CO 80260-6806 | 2017-09-11 |
| 1154738003 | Matthew Abbott | Physician Assistant | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2014-07-11 |
| 1053579615 | Matthew David Abbott | Orthopaedic Surgery | 8402 Harcourt Rd, Indianapolis, IN 46260-2074 | 2008-05-29 |
| Street Address |
871 STATE ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-3923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003872383 | Mark C Vanacore | Counselor | 871 State St, New Haven, CT 06511-3923 | 2006-04-25 |
| 1629132824 | Sofia Quijano | Social Worker | 871 State St, New Haven, CT 06511-3923 | 2006-12-21 |
| 1114081783 | Andrew Beckley | Counselor | 871 State St, New Haven, CT 06511-3923 | 2006-12-20 |
| 1588672828 | Rebecca Ann Lehn | Counselor | 871 State St, New Haven, CT 06511-3923 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194330571 | Allison Elizabeth Pratt | Occupational Therapist | 625 Whitney Ave, Apt 5, New Haeven, CT 06511 | 2020-09-11 |
| 1881213346 | Sarah Bleicher | Registered Nurse | Yale Health, 55 Lock St, New Haven, CT 06511 | 2020-04-14 |
| 1083268395 | Danielle Lee Mcpherson | Pharmacist | Yale New Haven Hospital 55 Park Street, New Haven, CT 06511 | 2019-07-25 |
| 1528533866 | Alexia Levin | Social Worker | 98/100 York St, New Haven, CT 06511 | 2018-10-12 |
| 1861970097 | Orthocare Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 1450 Chapel St Ste Sg15, New Haven, CT 06511 | 2018-07-31 |
| 1609352418 | Susannah Frew | Social Worker | 2 Eld Street, Apt 6, New Haven, CT 06511 | 2018-07-15 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1487173951 | Karine Giasson-gariepy | Student in an Organized Health Care Education/Training Program | Yale University Department of Psychiatry, 300 George Street, Suite 901, New Haven, Ct 06511, New Haven, CT 06511 | 2017-09-15 |
| 1568980696 | Anna Reutenauer | Dentist | 123 York St Ste 4l, New Haven, CT 06511 | 2017-09-08 |
| 1083134753 | Darin Dolezal | Student in an Organized Health Care Education/Training Program | 200 South Frontage Road, Ep2 2nd Floor - 612, Dept of Pathology, New Haven, CT 06511 | 2017-06-23 |
| Find all providers in zip 06511 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598311599 | Families On The Line, LLC | Counselor | 129 Church St Ste 807, New Haven, CT 06510-2005 | 2019-08-15 |
| 1063985877 | Robin M Knight | Counselor | 471 Lighthouse Rd, New Haven, CT 06512-4015 | 2019-01-03 |
| 1215413505 | Mia Vita Counseling LLC | Counselor | 425 Dixwell Ave, New Haven, CT 06511-1771 | 2018-07-19 |
| 1851881965 | Empowerment Counseling Services, LLC | Counselor | 427 Dixwell Ave, New Haven, CT 06511 | 2018-05-14 |
| 1225543457 | Re-focus Foundation Inc. | Counselor | 157 Church Street, 19th Floor, New Haven, CT 06510 | 2017-12-11 |
| 1851804231 | Clara Tilley | Counselor | 900 Chapel St Ste 1400, New Haven, CT 06510-2814 | 2017-11-08 |
| 1255876926 | Della Marie Mullins | Counselor | 900 Grand Ave Apt 6, New Haven, CT 06511-4982 | 2017-01-04 |
| 1164826327 | Jamie Jakubus | Counselor | 57224 Tanglewood St, New Haven, MI 48048-2993 | 2014-10-17 |
| 1710325824 | Jose Villafuerte | Counselor | 628 George St, New Haven, CT 06511-5362 | 2013-06-11 |
| 1528311735 | Phillipa Blake | Counselor | 140 Dewitt St, New Haven, CT 06519-2133 | 2012-10-25 |
| Find all providers in NEW HAVEN | ||||
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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.