MARY LOU LAURICELLA (NPI# 1841384575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841384575 |
Entity Type | Individual |
Full Name | MARY LOU LAURICELLA |
Credential | M.A. |
Practice Address |
950 Campbell Avenue West Haven CT 06516 |
Practice Telephone | 2039325711 |
Practice Fax Number | 2039373806 |
Mailing Telephone | 2039325711 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225800000X | Recreation Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
950 CAMPBELL AVENUE |
City | WEST HAVEN |
State | CT |
Zip Code | 06516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548265200 | Jennifer E Napoleone | Nurse Practitioner | 950 Campbell Avenue, Va Healthcare System B1/118, West Haven, CT 06516 | 2005-06-17 |
1801440342 | Adrienne Julia Jaeger | Nurse Practitioner | 950 Campbell Avenue, West Haven, CT 06516 | 2019-08-01 |
1558898452 | Jadry Gruen | Internal Medicine | 950 Campbell Avenue, Bldg 1, 5th Floor, West Haven, CT 06516-0651 | 2017-05-23 |
1841605581 | West Haven Va Healthcare System | General Acute Care Hospital | 950 Campbell Avenue, West Haven, CT 06516 | 2014-06-20 |
1174934426 | Karen Le | Speech-Language Pathologist | 950 Campbell Avenue, Va Connecticut Healthcare System, West Haven, CT 06516 | 2014-05-08 |
1992085823 | Emily Ann Melin | Nurse Practitioner | 950 Campbell Avenue, West Haven, CT 06516 | 2011-08-23 |
1073827358 | Hiuying Edith Zhou | Audiologist | 950 Campbell Avenue, Audiology and Speech Pathology (126), West Haven, CT 06516 | 2010-07-29 |
1437328135 | Yvonne G Arthur Streete | Registered Nurse | 950 Campbell Avenue, West Haven, CT 06516 | 2008-02-27 |
1306963012 | Natalie Frances Holt | Anesthesiology | 950 Campbell Avenue, Va Connecticut Healthcare System - West Haven Campus, West Haven, CT 06516 | 2007-03-26 |
1184799413 | Donna Marie Tice | Nurse Practitioner | 950 Campbell Avenue, Veteran's Administration Medical Center, West Haven, CT 06516 | 2006-11-21 |
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 | 225800000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Recreation Therapist |
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518060920 | Cheryl Ann Cresta | Recreation Therapist | 114 Boston Post Rd, # 152, West Haven, CT 06516-2043 | 2006-09-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073017372 | Karen Ann Peck | Recreation Therapist | 469 Buckland Rd Ste 102, South Windsor, CT 06074-3737 | 2018-03-21 |
1952412629 | Michael James Rose | Recreation Therapist | 761 Woodin St, Hamden, CT 06514-4218 | 2006-08-31 |
1275171530 | Lisa Ann Tringali | Recreation Therapist | 28 Crescent St, Middletown, CT 06457-3654 | 2019-12-18 |
1629511910 | Bryan Mcfarland | Recreation Therapist | 459 Wallingford Rd, Durham, CT 06422-1125 | 2016-11-18 |
1417069840 | Pamela Barbara Moran | Recreation Therapist | 555 Willard Ave, Newington, CT 06111-2631 | 2006-08-31 |
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.