DR. JOANNA CELESTE PROCACCINI (NPI# 1891058780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891058780 |
| Entity Type | Individual |
| Full Name | DR. JOANNA CELESTE PROCACCINI |
| Credential | PSY.D., NCSP |
| Practice Address |
203 Broad St Suite C4 Milford CT 06460-4751 |
| Practice Telephone | 2038500140 |
| Practice Fax Number | 8887839125 |
| Mailing Telephone | 2038500140 |
| Mailing Fax Number | 8887839125 |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2015-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003411 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1891058780 | 05 |
| Street Address |
203 BROAD ST SUITE C4 |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-4751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669579561 | Henri M Czarny | Psychiatry & Neurology | 203 Broad St, Suite C4, Milford, CT 06460 | 2006-09-20 |
| 1629441019 | Southern Connecticut Behavioral Health LLC | Social Worker | 203 Broad St, Suite C-4, Milford, CT 06460-4751 | 2015-11-05 |
| 1043584535 | Living Spring LLC | Psychiatry & Neurology | 203 Broad St, Milford, CT 06460-4751 | 2012-02-29 |
| 1922312503 | Theddeus Iheanacho | Psychiatry & Neurology | 203 Broad St, Suite C-4, Milford, CT 06460-4751 | 2010-08-05 |
| 1548444227 | Tara J Glennon | Occupational Therapist | 203 Broad St, Unit C-2, Milford, CT 06460-4751 | 2007-12-18 |
| 1649467465 | Ross Stanley Deleonardo Sr. | Dentist | 203 Broad St, Suite C-1, Milford, CT 06460-4751 | 2007-09-25 |
| 1497887855 | Holly J Goss | Nurse Practitioner | 203 Broad St, Unit C-4, Milford, CT 06460-4750 | 2007-03-12 |
| 1922141381 | Smadar Kometz-rock | Psychiatry & Neurology | 203 Broad St, Unit C 4, Milford, CT 06460-4751 | 2007-02-15 |
| 1619051901 | Cindy Bernfeld | Social Worker | 203 Broad St, Suite C4, Milford, CT 06460-4751 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359154 | Theresa Mary Brasier | Psychologist | 25 Birch St Ste A, Milford, MA 01757-3585 | 2020-08-31 |
| 1497129811 | Joy Zelikovsky | Psychologist | 55 Botsford Ave, Milford, CT 06460-5804 | 2015-11-23 |
| 1679973994 | Jcp Psychological Services P.C. | Psychologist | 7 Deerfield Ave, Milford, CT 06460-7317 | 2014-08-25 |
| 1952743965 | Courtney Marie Mattiace | Psychologist | 57 Cherry St, Milford, CT 06460-3414 | 2013-07-19 |
| 1730426768 | Natalie Jo Sandbulte | Psychologist | 910 10th St, Milford, IA 51351-1530 | 2013-01-10 |
| 1720219512 | Beyer and Associates Psychological Services | Psychologist | 1562 Hunters Lake Ct, Milford, MI 48380-3250 | 2009-07-28 |
| 1639341605 | Kimberly A. Massey | Psychologist | 57 Plains Rd Ste 2c, Milford, CT 06461-2573 | 2008-03-30 |
| 1548304959 | Jean M Wiedholz | Psychologist | 204 E Harford St, Milford, PA 18337-1004 | 2007-02-18 |
| 1437243284 | Michael Faff | Psychologist | 1800 N Milford Rd, Suite 100, Milford, MI 48381-1047 | 2006-10-03 |
| 1912004581 | Annette Renee Evans | Psychologist | 1042 N Milford Rd Ste 203, Milford, MI 48381-5109 | 2006-09-17 |
| Find all providers in MILFORD | ||||
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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.