NICOLE FODASKI (NPI# 1801370978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801370978 |
| Entity Type | Individual |
| Full Name | NICOLE FODASKI |
| Practice Address |
1428 Millbrook Rd Middletown CT 06457-5538 |
| Practice Telephone | 8608039678 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
003367 | CT | Behavioral Health & Social Service Providers |
| Street Address |
1428 MILLBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-5538 |
| 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 Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
| 1114555851 | Demetrius Valentino Mckay | Counselor | 326 Acasta Dr, Middletown, DE 19709-9800 | 2020-03-30 |
| 1740813047 | Shayne Jervey Ahmad | Counselor | 292 Carter Dr Ste Aandb, Middletown, DE 19709-5846 | 2020-02-15 |
| 1801439427 | Edwin Dejesus | Counselor | 31 Peyton Pl, Middletown, CT 06457-2339 | 2019-10-27 |
| 1457817678 | Nicole Elizabeth Mchugh | Counselor | 360 Main St Ste 2d, Middletown, CT 06457-3375 | 2019-02-12 |
| 1740789163 | Corinne Ruppert | Counselor | 215 Oberlin Rd, Middletown, PA 17057-1448 | 2018-02-12 |
| 1881102499 | Chelsea Dicicco Counseling Services LLC | Counselor | 360 Main St Ste 2b, Middletown, CT 06457-3375 | 2018-01-17 |
| 1164938593 | Chelsea Rose Dicicco | Counselor | 29 Fairlawn Ave, Middletown, CT 06457-5315 | 2017-12-21 |
| 1639685456 | Integrated Counseling Solutions, LLC | Counselor | 363 Main St Ste 512, Middletown, CT 06457-3359 | 2017-12-15 |
| 1871027680 | Marcyanna Carlone | Counselor | 112 Russett Ln, Middletown, CT 06457-5811 | 2017-04-18 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on NICOLE FODASKI.
| 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.