KYISHA KIA VELAZQUEZ (NPI# 1821599127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821599127 |
| Entity Type | Individual |
| Full Name | KYISHA KIA VELAZQUEZ |
| Credential | MA |
| Practice Address |
446a Blake Street Suite 200 New Haven CT 06515-0651 |
| Mailing Address |
408 Norton Pkwy New Haven CT 06511-2829 |
| Practice Telephone | 2033879400 |
| Practice Fax Number | 2033879400 |
| Mailing Telephone | 2039038684 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
446A BLAKE STREET SUITE 200 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-0651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003096744 | Integrated Wellness Group, LLC | Marriage & Family Therapist | 446a Blake Street, Suite 200, New Haven, CT 06515-2216 | 2007-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1942324389 | New Haven Health Care | Nursing Facility/Intermediate Care Facility | 34 Level St, New Haven, CT 06515-1017 | 2007-03-19 |
| Find all providers in zip 06515 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835452 | Olivia V Carney | Counselor | 355 Alden Ave Apt B, New Haven, CT 06515-2139 | 2019-01-25 |
| 1700353455 | Amelia D Shannon | Counselor | 239 Columbus Ave, New Haven, CT 06519-2230 | 2018-10-31 |
| 1265928022 | Latreece M Mayes-santiago | Counselor | 107 Carmel St, New Haven, CT 06511-3103 | 2018-07-05 |
| 1164877312 | Patricia Marie Jenkins-simmons | Counselor | 54 William St, 1st Floor, New Haven, CT 06511-4939 | 2016-04-25 |
| 1467817064 | Juan Montalvo | Counselor | 645 Grand Ave, New Haven, CT 06511-5011 | 2015-12-23 |
| 1679938393 | New England Counseling & Advocacy Center | Counselor | 157 Church St, 19th Floor, New Haven, CT 06510-2100 | 2015-12-22 |
| 1669842043 | Happy Family Community Services | Counselor | 530 State St, New Haven, CT 06511-6503 | 2015-09-29 |
| 1205251295 | Adrianne Jones Steiner | Counselor | 58144 Gratiot Ave., New Haven, MI 48048 | 2014-02-27 |
| 1124269832 | Ziara Kurys | Counselor | 446 Blake St # 200, New Haven, CT 06515-1286 | 2009-03-11 |
| 1689819336 | Positive Services for Kids, LLC | Counselor | 1948 Chapel St, New Haven, CT 06515-2211 | 2008-12-10 |
| Find all providers in NEW HAVEN | ||||
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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.