WATERSTONE COUNSELING CENTER, LLC (NPI# 1851767933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851767933 |
| Entity Type | Organization |
| Organization Name | WATERSTONE COUNSELING CENTER, LLC |
| Practice Address |
17 Wall St Madison CT 06443-3122 |
| Practice Telephone | 2032450412 |
| Practice Fax Number | 2032450572 |
| Mailing Telephone | 2032450412 |
| Mailing Fax Number | 2032450572 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | DR. MARC BONO (OWNER/PARTNER) |
| Authorized Official Telephone | 2032450412 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
2824 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164863981 | Waterstone Counseling Center, LLC | Counselor | 2002 S 48th St, Suite F, Springdale, AR 72762-5772 | 2013-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Waterstone Counseling Center, LLC | 17 Wall St, Madison, CT 06445 |
| Street Address |
17 WALL ST |
| City | MADISON |
| State | CT |
| Zip Code | 06443-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700804044 | Kathy Bryson | Nurse Practitioner | 17 Wall St, Madison, CT 06443-3122 | 2006-07-17 |
| 1962797696 | Genevieve Montagu Von Walstrom | Internal Medicine | 17 Wall St, Madison, CT 06443-3122 | 2011-06-10 |
| 1861610479 | Judith M Jorgensen | Counselor | 17 Wall St, Madison, CT 06443-3122 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194127506 | Heather R. Clinton | Social Worker | 847 West Main Street, Suite 3, Branford, CT 06443 | 2014-09-17 |
| 1477973378 | Katrina Louise Furey | Psychiatry & Neurology | 147 Durham Rd Ste 12a-ne, Madison, CT 06443 | 2014-04-18 |
| 1972920114 | Elizabeth Laberee | Internal Medicine | 80 Devonshire Lane, Madison, CT 06443 | 2014-03-26 |
| 1588007314 | Avery Grauer | Psychiatry & Neurology | 175 Copse Road, Madison, CT 06443 | 2013-04-11 |
| 1295077790 | Gordon Seth Cohen | Pathology | 3 Silo Hill Road, Madison, CT 06443 | 2013-03-22 |
| 1073750493 | Darlene F. Talavera | Occupational Therapist | 22 Overshore Drive, Madison, CT 06443 | 2009-01-08 |
| 1013182518 | Susan Jean Isaac | Social Worker | 105 Winding Road, Unit 2, Madison, CT 06443 | 2008-04-25 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1811181126 | Traci Marando | Nurse Practitioner | 20 Madrina Lane, Madison, CT 06443 | 2007-08-29 |
| 1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
| Find all providers in zip 06443 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821358185 | Henry Steinberger Phd LLC | Psychologist | 313 Price Pl, Suite 209, Madison, WI 53705-3262 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124417167 | Mclean Wellness Group, LLC | Psychologist | 117 E. Center St., Manchester, CT 06040 | 2015-01-14 |
| 1821124157 | Dana Anne Cavallo | Psychologist | 30 Spruce St, Stratford, CT 06615-7903 | 2007-02-23 |
| 1194875294 | Mary-margaret Ellen Freier | Psychologist | 4 Van Cedarfield Rd., Colchester, CT 06415 | 2007-01-11 |
| 1508409731 | Clufoir Inc | Psychologist | 1783 Meriden Waterbury Tpke, Suite K 11, Southington, CT 06489-0268 | 2019-10-21 |
| 1851859102 | Krysten Bold | Psychologist | Department of Psychiatry, 34 Park Street Cmhc - Sac, New Haven, CT 06519 | 2019-03-06 |
| 1386072270 | Marc Bono | Psychologist | 765 E Main St, Branford, CT 06405-2922 | 2013-10-31 |
| 1801151105 | Liberty Healthcare LLC | Psychologist | 18 Hart St, New Britain, CT 06052-1702 | 2012-07-12 |
| 1508138652 | Richard Austin Jr. | Psychologist | 500 Albany Ave, Hartford, CT 06120-2508 | 2012-02-06 |
| 1750650255 | Midwestern Connecticut Council On Alcoholism, Inc | Psychologist | 62 Bridge St, New Milford, CT 06776-3547 | 2011-12-29 |
| 1588959068 | Alberto Luis Gonzalez | Psychologist | 500 Blue Hills Ave, Hartford, CT 06112-1500 | 2011-06-13 |
| Find all providers with the same taxonomy | ||||
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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.