DR. ERIC D MARGOLIES (NPI# 1891804811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891804811 |
| Entity Type | Individual |
| Full Name | DR. ERIC D MARGOLIES |
| Credential | PSYD |
| Practice Address |
133 Scovill St Suite 211 Waterbury CT 06706-1127 |
| Practice Telephone | 2035739521 |
| Practice Fax Number | 2035738708 |
| Mailing Telephone | 2035739521 |
| Mailing Fax Number | 2035738708 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2010-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 002399 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE SHIELD | 060002399CT01 | 01 |
| CT | 004218857 | 05 |
| Street Address |
133 SCOVILL ST SUITE 211 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06706-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851354534 | Linda M Matonis | Obstetrics & Gynecology | 133 Scovill St, Suite 303, Waterbury, CT 06706-1127 | 2006-04-11 |
| 1639628647 | Taylor Buzinsky | Dietitian, Registered | 133 Scovill St, Suite 304, Waterbury, CT 06706-1127 | 2016-10-03 |
| 1801149604 | Lolither R Darling | Nurse Practitioner | 133 Scovill St, Suite 102, Waterbury, CT 06706-1127 | 2012-10-18 |
| 1871898536 | Naugatuck Valley Women's Health Specialists, PC | Obstetrics & Gynecology | 133 Scovill St, Suite 314, Waterbury, CT 06706-1127 | 2011-01-11 |
| 1073772356 | Shohan Shetty | Surgery | 133 Scovill St, Waterbury, CT 06706 | 2008-06-03 |
| 1154593226 | He Zhang | Internal Medicine | 133 Scovill St, Suite 104, Waterbury, CT 06706-1127 | 2008-03-29 |
| 1780856252 | Arvind Suri | General Practice | 133 Scovill St, Suite 101, Waterbury, CT 06706-1127 | 2008-03-25 |
| 1588851703 | Thomas P. Greco M D P C | Internal Medicine | 133 Scovill St, Suite 306, Waterbury, CT 06706-1127 | 2007-10-02 |
| 1225234628 | Naugatuck Valley Ob-gyn | Obstetrics & Gynecology | 133 Scovill St, Suite 303, Waterbury, CT 06706-1127 | 2007-06-22 |
| 1316161193 | Waterbury Psychiatric Associates, P.C. | Clinic/Center | 133 Scovill St, Suite # 201, Waterbury, CT 06706-1127 | 2007-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750538 | Sameerah Ibtisam Rehmani | Internal Medicine | St Mary's Hospital, 56 Franklin Street, Waterbury, CT 06706 | 2017-06-27 |
| 1417208448 | Sherry L Gatling | Durable Medical Equipment & Medical Supplies | 394 Mill Street, 2nd Flr N, Waterbury, CT 06706 | 2012-10-01 |
| 1144505538 | Amanda Maria Delcavo | Physician Assistant | 50 Franklin Street, Waterbury, CT 06706 | 2011-10-17 |
| 1508097031 | Lauren K Ayr-volta | Clinical Neuropsychologist | 133 Scovill Street, Suite 211, Waterbury, CT 06706 | 2009-07-31 |
| 1538206800 | John Chardavoyne | Psychiatry & Neurology | Waterbury Outpatient Clinic, 95 Scovill Street, Waterbury, CT 06706 | 2007-01-30 |
| 1922111632 | Thomas Owen Genese | Internal Medicine | 56 Franklin Street, St. Mary's Hospital - Dept of Medicine, Waterbury, CT 06706 | 2006-08-16 |
| 1013942465 | Nancy Lou Kline | Nurse Practitioner | 133 Scovill Street-waterbury Va Community Based Clinic, #203, Waterbury, CT 06706 | 2006-07-12 |
| 1013455351 | Denisse Burgos-jimenez | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2017-02-07 |
| 1902255086 | Kaitlyn Jennings | Physician Assistant | 56 Franklin St, Waterbury, CT 06706 | 2016-06-08 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043309230 | Anna Resnick | Psychologist | 180 Scott Road, Waterbury, CT 06705 | 2006-10-12 |
| 1740522770 | Robert W. Plant | Psychologist | 141 E Main St, Waterbury, CT 06702-2310 | 2013-03-15 |
| 1134374176 | Marcy L. Kane | Psychologist | 70 Pine Street, Waterbury, CT 06710 | 2008-11-18 |
| 1881739233 | Matthew Gordon Snow | Psychologist | 55 West Main Street, Suite 410, Waterbury, CT 06702 | 2007-02-21 |
| 1447369459 | Leonard I Goldstein | Psychologist | 133 Scovill St, Suite 211, Waterbury, CT 06706-1127 | 2006-08-30 |
| 1861501868 | Heather J Toll | Psychologist | 133 Scovill St, Suite 211, Waterbury, CT 06706-1127 | 2006-08-30 |
| 1366551392 | Sidney S Horowitz | Psychologist | 133 Scovill St, Suite 211, Waterbury, CT 06706-1127 | 2006-08-30 |
| 1487763413 | Michaela U Kauffmann | Psychologist | 133 Scovill St, Suite 211, Waterbury, CT 06706-1127 | 2006-08-30 |
| 1972612968 | Howard Krieger | Psychologist | 133 Scovill St, Suite 211, Waterbury, CT 06706-1127 | 2006-08-30 |
| 1275544488 | Ct Resource Group LLC | Psychologist | 133 Scovill St, Ste 211, Waterbury, CT 06706-1127 | 2006-08-11 |
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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.