DR. VANESSA BRODIE (NPI# 1801254297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801254297 |
| Entity Type | Individual |
| Full Name | DR. VANESSA BRODIE |
| Credential | PSY.D. |
| Practice Address |
395 W Avon Rd Ste 1 Avon CT 06001 |
| Mailing Address |
29 Canterbury Ln Avon CT 06001-4509 |
| Practice Telephone | 8622770227 |
| Mailing Telephone | 8622770227 |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3855 | CT | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 021358-1 | NY | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 35SI00537700 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 280 Bloomfield Ave, Floor 3, Verona, NJ 070442426 | 8622770227 | |
| 7302 6th Ave, Brooklyn, NY 112092608 | 8622770227 |
| Street Address |
395 W AVON RD STE 1 |
| City | AVON |
| State | CT |
| Zip Code | 06001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| 1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
| Find all providers in zip 06001 | ||||
| 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 |
|---|---|---|---|---|
| 1922493188 | Deborah Zwick | Psychologist | 30 Benchmark, Suite 204, Avon, CO 81620-2870 | 2015-04-03 |
| 1215070974 | Samuel Moy | Psychologist | 7 Rexinger Ln, Avon, CT 06001-2340 | 2007-02-14 |
| 1558787176 | Avon Simsbury Psychotherapy, LLC | Psychologist | 111 Simsbury Rd, Avon, CT 06001-3763 | 2014-03-06 |
| 1104132513 | Ashleigh Charlene Kappos Woods | Psychologist | 6655 E Us Highway 36, Avon, IN 46123-8923 | 2010-08-23 |
| 1740419514 | Robert Murphy | Psychologist | 152 Simsbury Rd, Bld #8, Avon, CT 06001-3777 | 2009-07-14 |
| 1487891545 | Marisa Ann Brown | Psychologist | 21 Waterville Rd, Avon, CT 06001 | 2009-01-12 |
| 1306869359 | Glenda Paulhamus | Psychologist | 21 Waterville Rd, Avon, CT 06001-2097 | 2006-07-25 |
| 1679506406 | Michael Lynch | Psychologist | 21 Waterville Rd, Avon, CT 06001-2097 | 2006-07-07 |
| 1154377984 | Judith Davidson | Psychologist | 21 Waterville Rd, Avon, CT 06001-2097 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363962 | Tyrek J Pratt LLC | Psychologist | 74 New London Tpke Ste 1, Glastonbury, CT 06033-4204 | 2020-10-16 |
| 1003413493 | Dominica B Hernandez | Psychologist | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-08 |
| 1861009417 | Margaret Mary Maher | Psychologist | 225 Main St # Ll, Westport, CT 06880-3216 | 2020-09-28 |
| 1831705573 | Meredith Poster | Psychologist | 6 Rustic Lane, Westport, CT 06880 | 2020-09-18 |
| 1407461619 | Kathy Yuen | Psychologist | 34 Clearview Ave, West Hartford, CT 06119-2201 | 2020-09-14 |
| 1730706912 | Albert Petitpas | Psychologist | 130 Butternut Ln, Kensington, CT 06037-1200 | 2020-07-03 |
| 1285267880 | Margaret Taylor Davis | Psychologist | 2 Church St S Ste 511, New Haven, CT 06519-1760 | 2020-02-21 |
| 1871139196 | Joseph Demers | Psychologist | 330 Post Rd, Darien, CT 06820-3600 | 2019-11-21 |
| 1063053114 | Safe Haven Psychological Services LLC | Psychologist | 491 Main St Ste D, Branford, CT 06405-3505 | 2019-09-30 |
| 1578113403 | Janet Mentore Lee | Psychologist | 124 Woodridge Dr, New Canaan, CT 06840-3511 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
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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.