CARMELA SHATTUCK (NPI# 1801865589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801865589 |
| Entity Type | Individual |
| Full Name | CARMELA SHATTUCK |
| Practice Address |
400 Columbus Ave New Haven CT 06519-1233 |
| Mailing Address |
360 Columbus Ave New Haven CT 06519-1516 |
| Practice Telephone | 2035033250 |
| Mailing Telephone | 2035033250 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
005569 | CT | Behavioral Health & Social Service Providers |
| Street Address |
400 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209091 | Robin Goldberg | Dentist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2005-10-20 |
| 1871190579 | Ashley Salter | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-10-06 |
| 1679199095 | Kathleen Mary Mcmahon-brown | Nurse Practitioner | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-06-22 |
| 1003443219 | D'amira Kendrick | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-03-26 |
| 1821628108 | Jonathan Ruiz | Marriage & Family Therapist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-01-25 |
| 1205495785 | Julia Stark Oricchio | Nurse Practitioner | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2019-06-10 |
| 1174004758 | Taylor Catherine Rispoli | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2018-08-22 |
| 1548769235 | Carolina Bunta | Marriage & Family Therapist | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2018-02-07 |
| 1740728559 | Ervis Shehu | Pharmacist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2017-02-01 |
| 1265985725 | Grace Kindilien Moskowitz | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164620274 | Regina Childers | Social Worker | 790 Grand Ave, New Haven, CT 06511-4941 | 2007-07-10 |
| 1366831299 | Elizabeth Cordero | Social Worker | 93 Edwards St, New Haven, CT 06511-3933 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033681648 | Emily Pappas Boone | Social Worker | 65 Barry Pl, Suffield, CT 06078-2250 | 2018-12-20 |
| 1831566983 | Gary Cesca | Social Worker | 45 North School St, Manchester Public Schools, Manchester, CT 06040 | 2015-08-25 |
| 1881977692 | Erin Forler | Social Worker | 51 Toms Rd, Stamford, CT 06906-1022 | 2011-09-28 |
| 1275837684 | Nicole Marie Lewoc | Social Worker | 31 Village Ln, Wallingford, CT 06492-2426 | 2010-12-28 |
| 1770705410 | Ann Macgregor Sullivan | Social Worker | 20 Steele Rd, New Hartford, CT 06057-2612 | 2007-05-03 |
| 1235740762 | Alyson Marie Humphrey | Social Worker | 225 N Main St, Bristol, CT 06010-4926 | 2020-08-10 |
| 1447733803 | Kyli Marshall Jones | Social Worker | 5 Barnes Industrial Rd S, Wallingford, CT 06492-2431 | 2018-09-12 |
| 1770031924 | Olivia Simon | Social Worker | 896 Asylum Ave, Hartford, CT 06105-1901 | 2016-09-16 |
| 1396124699 | Helene Ramirez | Social Worker | 45 Wadsworth St, Hartford, CT 06106-7108 | 2015-05-20 |
| 1316347107 | Kaylee Rugar | Social Worker | 91 Northwest Dr, Plainville, CT 06062-1534 | 2014-08-28 |
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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.