PETER TOLISANO PSYD LLC (NPI# 1811379662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811379662 |
| Entity Type | Organization |
| Organization Name | PETER TOLISANO PSYD LLC |
| Practice Address |
68 S Main St Suite 100 West Hartford CT 06107-2445 |
| Mailing Address |
111 Dekoven Dr #1201 Middletown CT 06457-3403 |
| Practice Telephone | 8607784942 |
| Mailing Telephone | 8607784942 |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2015-06-28 |
| Authorized Official Name | DR. PETER PAUL TOLISANO JR. (OWNER) |
| Authorized Official Telephone | 8607784942 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 2993 | CT | Agencies |
| Street Address |
68 S MAIN ST SUITE 100 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646316 | Jill Shalan, Phd, Pllc | Psychologist | 68 S Main St, West Hartford, CT 06107-2445 | 2018-01-10 |
| 1033527312 | Louis Graff LLC | Clinic/Center | 68 S Main St, Suite 201, West Hartford, CT 06107-2445 | 2014-07-30 |
| 1902111073 | Raymond L Almeida Lcsw LLC | Social Worker | 68 S Main St, Suite 200, West Hartford, CT 06107-2445 | 2010-08-13 |
| 1326265372 | Jerrold William Goodman | Psychologist | 68 S Main St, Suite 200, West Hartford, CT 06107-2445 | 2007-04-19 |
| 1154485456 | Eleanor A Hirtreiter | Psychologist | 68 S Main St, Suite 202, West Hartford, CT 06107-2445 | 2006-12-20 |
| 1275633521 | Joan C Miller | Social Worker | 68 S Main St, West Hartford, CT 06107-2445 | 2006-09-25 |
| 1407861867 | Evelyn Diane Kirkman | Social Worker | 68 S Main St, Suite 202, West Hartford, CT 06107-2445 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016065 | Maria Victoria Ramos Psyd LLC | Community/Behavioral Health | 41 N Main St Ste 208, West Hartford, CT 06107-1929 | 2020-06-03 |
| 1851935654 | Colleen Dolan, Lmft, LLC | Community/Behavioral Health | 10 Dale St Fl 2, West Hartford, CT 06107-1815 | 2019-11-05 |
| 1154817237 | Mmp Therapy and Consulting | Community/Behavioral Health | 2475 Albany Avenue, West Hartford, CT 06117 | 2018-07-02 |
| 1184111247 | Tracy Roe | Community/Behavioral Health | 101 South St Fl 2nf, West Hartford, CT 06110-1967 | 2018-04-15 |
| 1427440940 | Robert Szczepanski, Psychotherapist | Community/Behavioral Health | 10 N Main St Ste 214, West Hartford, CT 06107-1941 | 2015-02-20 |
| 1003458316 | Phoenix Healing, LLC | Community/Behavioral Health | 45 S Main St Ste 107, West Hartford, CT 06107-2402 | 2019-10-09 |
| 1205329729 | New Chapter Counseling Services, LLC | Community/Behavioral Health | 2475 Albany Ave Ste 203b, West Hartford, CT 06117 | 2018-06-09 |
| 1013419357 | Sayuri Integrative Services, LLC | Community/Behavioral Health | 74 Park Rd, West Hartford, CT 06119 | 2018-03-02 |
| 1659897361 | Encompass Counseling LLC | Community/Behavioral Health | 45 S Main St Ste 107, West Hartford, CT 06107-2402 | 2017-08-15 |
| 1871038737 | Brehan Cosgrove, Lmft, LLC | Community/Behavioral Health | 45 S Main St, Suite 300, West Hartford, CT 06107-2441 | 2017-01-03 |
| Find all providers in WEST HARTFORD | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
Please comment or provide details below to improve the information on PETER TOLISANO PSYD LLC.
| 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.