JENNIFER FANNING (NPI# 1821383258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821383258 |
| Entity Type | Individual |
| Full Name | JENNIFER FANNING |
| Credential | M.A. |
| Practice Address |
950 Campbell Ave National Center for Ptsd (116a) West Haven CT 06516-2770 |
| Practice Telephone | 5047105073 |
| Mailing Telephone | 5047105073 |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2011-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
950 CAMPBELL AVE NATIONAL CENTER FOR PTSD (116A) |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011434 | Jacqueline Marie Martin | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-05-31 |
| 1134728413 | Matthew Thomas Walsh | Physical Therapist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-19 |
| 1184221467 | Victoria Leigh Dasilva | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-08 |
| 1467069716 | Steven Lemieux | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-29 |
| 1629685581 | Ramandeep Kaur | Optometrist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1972110864 | Lorena Rivera Mitchell | Social Worker | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1174139851 | Angela Haeny | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1225644966 | Neil Bidon | Registered Nurse | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1952916181 | Courtney Burgazli | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-14 |
| 1316552862 | Amanda Victoria Loomis | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| 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 |
|---|---|---|---|---|
| 1437439627 | Carolyn Elizabeth Sartor | Psychologist | 950 Campbell Ave, Va Ct Healthcare System, Building 35, Room 42, West Haven, CT 06516 | 2011-08-19 |
| 1164044434 | Edward Paul Liebmann | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-05-10 |
| 1932729357 | Suzanne Spinola | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-04-27 |
| 1184112211 | Allison Elizabeth Gaffey | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2018-04-24 |
| 1790153385 | Maggie Manning | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2015-09-13 |
| 1124401682 | Michelle Comas | Psychologist | 270 Center St, West Haven, CT 06516-4400 | 2015-07-02 |
| 1063799419 | Jack Tsai | Psychologist | 950 Campbell Ave # 151d, West Haven, CT 06516-2770 | 2011-11-14 |
| 1912230038 | Paraskevi Noulas | Psychologist | 950 Campbell Ave, Ptsd Clinic, Bldg 1, 7th Floor, West Haven, CT 06516-2770 | 2009-09-08 |
| 1275774614 | Carly J. Gibbons | Psychologist | 950 Campbell Ave, (151d), West Haven, CT 06516-2770 | 2009-03-16 |
| 1336384999 | Erin O'brien | Psychologist | 950 Campbell Ave, Va-ct Healthcare System, West Haven, CT 06516 | 2008-12-11 |
| Find all providers in WEST HAVEN | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.