YALE UNIV SCHOOL OF MEDICINE (NPI# 1871796383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871796383 |
| Entity Type | Organization |
| Organization Name | YALE UNIV SCHOOL OF MEDICINE |
| Practice Address |
230 South Frontage Road New Haven CT 06519-0309 |
| Practice Telephone | 2037854216 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOSEPH WOOLSTEN (VICE CHAIRMAN FOR CLINICAL AFFAIRS) |
| Authorized Official Telephone | 2037854216 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
CT | Ambulatory Health Care Facilities |
| Street Address |
230 SOUTH FRONTAGE ROAD |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-0309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154372431 | Yann Bruno Poncin | Psychiatry & Neurology | 230 South Frontage Road, New Haven, CT 06520-7900 | 2006-05-12 |
| 1568658664 | Caroline Cregan | Psychiatry & Neurology | 230 South Frontage Road, New Haven, CT 06519 | 2007-09-21 |
| 1124214226 | Thomas Fernandez | Psychiatry & Neurology | 230 South Frontage Road, New Haven, CT 06520-7900 | 2007-09-21 |
| 1851590822 | Kamilah Jackson | Psychiatry & Neurology | 230 South Frontage Road, New Haven, CT 06519 | 2007-07-11 |
| 1578769758 | Yale-new Haven Hospital | Psychiatric Unit | 230 South Frontage Road, Nihb205, New Haven, CT 06520-7900 | 2007-06-25 |
| 1811906365 | Phillip Branch Chappell | Psychiatry & Neurology | 230 South Frontage Road, Yale University Child Study Center, New Haven, CT 06520-7900 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497025035 | Ct Clinical Services, Inc. | Clinic/Center | 189 Orange St, New Haven, CT 06510-2014 | 2012-01-12 |
| 1093950032 | Yale Parenting and Child Conduct Clinic | Clinic/Center | 314 Prospect St, New Haven, CT 06511-2187 | 2008-12-04 |
| 1942580006 | Catholic Charities Inc | Clinic/Center | 501 Lombard St, New Haven, CT 06513-2910 | 2011-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195339 | Rachel Collins, Lpc | Clinic/Center | 410 State St Rm 1, North Haven, CT 06473-3149 | 2017-10-22 |
| 1376054148 | Joann Flynn LLC. | Clinic/Center | 3 Swanswood Ln, Old Lyme, CT 06371-1867 | 2017-10-19 |
| 1942723036 | Kellys Kids, Inc | Clinic/Center | 9 Spring Rd, Prospect, CT 06712-1522 | 2017-07-20 |
| 1295256840 | B.e.a.u.t.y, LLC | Clinic/Center | 824 Main St Ste F, Manchester, CT 06040-6048 | 2017-07-05 |
| 1518413442 | Community Partners In Action | Clinic/Center | 995 Sherman Ave, Hamden, CT 06514-1144 | 2016-08-31 |
| 1952760803 | Darbonshire, LLC | Clinic/Center | 304 Wahackme Rd, New Canaan, CT 06840-3936 | 2016-02-21 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1710185731 | Waterford Country School, Inc. | Clinic/Center | 78 Hunts Brook Rd, Quaker Hill, CT 06375-1009 | 2007-07-11 |
| 1689887440 | The Bridge Family Center Inc | Clinic/Center | 1022 Farmington Ave, West Hartford, CT 06107 | 2007-05-08 |
| 1174644652 | Liberation Programs Inc | Clinic/Center | 120 Brookside Road, Darien, CT 06820 | 2007-04-03 |
| 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.