SOUTHFIELD CENTER FOR PSYCHOLOGICAL SERVICES, LLC (NPI# 1790911865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790911865 |
| Entity Type | Organization |
| Organization Name | SOUTHFIELD CENTER FOR PSYCHOLOGICAL SERVICES, LLC |
| Practice Address |
68 Southfield Ave Two Stamford Landing-suite 160 Stamford CT 06902-7237 |
| Practice Telephone | 2033489920 |
| Mailing Telephone | 2033489920 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |
| Authorized Official Name | DR. CHRISTOPHER M BOGART (DIRECTOR) |
| Authorized Official Telephone | 2033489920 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
68 SOUTHFIELD AVE TWO STAMFORD LANDING-SUITE 160 |
| City | STAMFORD |
| State | CT |
| Zip Code | 06902-7237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043264112 | Tender Loving Care Health Care Services of New England, LLC | Home Health Aide | 68 Southfield Ave, Suite 215, Stamford, CT 06902-7237 | 2006-05-21 |
| 1417072315 | Christopher Michael Bogart | Psychologist | 68 Southfield Ave, Building Two, Suite 160, Stamford, CT 06902-7237 | 2007-03-20 |
| 1326101452 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 68 Southfield Ave, 2nd Floor, # 260, Stamford, CT 06902-7237 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043242 | Palak Bhambri | Pharmacist | 537 Canal Street, Stamford, CT 06902 | 2019-09-26 |
| 1730654815 | Brenice Duroseau | Nurse Practitioner | 292 Long Ridge Rd Ste 202, Stamford, CT 06902 | 2018-10-04 |
| 1447732862 | Ngoc Lam | Pharmacist | 1990 West Main Street, Stamford, CT 06902 | 2018-09-01 |
| 1336627264 | Margaret F Gorelick | Nurse Practitioner | Stamford Health, One Hospital Plaza, Stamford, CT 06902 | 2018-08-02 |
| 1174053425 | Ashley Marie Santana | Social Worker | 110 Commons Park N Apt 1158, Stamford, CT 06902 | 2017-06-19 |
| 1578090395 | Anas Al-sabbagh | Dentist | 1 Strawberry Hill Court Suite L7 Stamford, Connecticut, Stamford, CT 06902 | 2017-05-11 |
| 1154862936 | Hillary Rubin | Psychologist | 44 Commerce Avenue, Stamford, CT 06902 | 2017-03-14 |
| 1801332135 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1 Hospital Plz Ste G122, Stamford, CT 06902 | 2017-01-10 |
| 1932563277 | Mary Hurtadodemendoza | Pharmacist | 59 Courtland Ave 2m, Stamford, CT 06902 | 2016-04-13 |
| 1235592247 | Advanced Therapy and Performance LLC | Physical Medicine & Rehabilitation | 75 Selleck Street, Stamford, CT 06902 | 2016-03-29 |
| Find all providers in zip 06902 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285186668 | Dariush Fathi | Psychologist | 141 Franklin Street, Stamford, CT 06902-5113 | 2016-11-01 |
| 1932500915 | Emily Krol | Psychologist | 29 Yale Court, Stamford, CT 06905 | 2014-09-10 |
| 1720357528 | Herbert Steven Cohen | Psychologist | 106 Gun Club Rd, Stamford, CT 06903-1024 | 2011-12-22 |
| 1528392636 | Robin Wachs | Psychologist | 1177 High Road, Suite 206, Stamford, CT 06905-1221 | 2009-09-22 |
| 1801037049 | Melissa Chang Phd LLC | Psychologist | 59 Roxbury Rd, Stamford, CT 06902-1283 | 2009-03-18 |
| 1245449735 | Nancy L. Bronson | Psychologist | 76 Haviland Ct, Stamford, CT 06903-3331 | 2007-05-21 |
| 1700937133 | Jeffrey A Goldman | Psychologist | 32-34 Main St, Stamford, NY 12167-1145 | 2007-01-14 |
| 1013073147 | Ellen Raynes Berman | Psychologist | 123 Macgregor Dr, Stamford, CT 06902-1409 | 2007-01-01 |
| 1316016611 | Leo Paul Donovan Jr. | Psychologist | 239 Hamilton Ave Apt 8, Stamford, CT 06902-3480 | 2006-11-08 |
| 1417040908 | John Reed Brundage | Psychologist | 144 Morgan Street, Suite 7, Stamford, CT 06905 | 2006-10-02 |
| Find all providers in STAMFORD | ||||
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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.