DR. TIMOTHY J. NANCE (NPI# 1902939135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902939135 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J. NANCE |
| Credential | PH.D. |
| Practice Address |
61 Bloomfield Ave Fl 2 Windsor CT 06095 |
| Practice Telephone | 8606832352 |
| Practice Fax Number | 8602191179 |
| Mailing Telephone | 8606832352 |
| Mailing Fax Number | 8602191179 |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1160 | NC | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 001057 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | BLUE CROSS BLUE SHIELD | 060001057CT01 | 01 |
| CT | VALUEOPTIONS | 073409 | 01 |
| CT | ANTHEM BCBS | 060001057CT01 | 01 |
| Street Address |
61 BLOOMFIELD AVE FL 2 |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033219639 | Kathleen Nugent Mueller | Family Medicine | 61 Bloomfield Ave, Holistic Health Partnering, Windsor, CT 06095-1915 | 2006-09-23 |
| 1174996706 | Heritage Direct Care, LLC | Family Medicine | 61 Bloomfield Ave, Windsor, CT 06095-2809 | 2015-11-04 |
| 1407134554 | Debora A. Kustron, Psy.d., LLC | Psychologist | 61 Bloomfield Ave, 2nd Floor, Windsor, CT 06095-2809 | 2011-07-22 |
| 1932342938 | Holistic Health Partnering, LLC | Clinic/Center | 61 Bloomfield Ave, Windsor, CT 06095-2809 | 2009-04-07 |
| 1679762033 | Jane Inman Walker | Family Medicine | 61 Bloomfield Ave, Windsor, CT 06095-2809 | 2007-10-22 |
| 1316087950 | Debora Ann Kustron | Psychologist | 61 Bloomfield Ave, 2nd Floor, Windsor, CT 06095-2809 | 2007-02-06 |
| 1710050513 | Lisa Farley | Social Worker | 61 Bloomfield Ave, Windsor, CT 06095-2809 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| Find all providers in zip 06095 | ||||
| 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 |
|---|---|---|---|---|
| 1336663806 | Kenneth Joel Parnell | Psychologist | 7791 Highland Meadows Pkwy Ste C, Windsor, CO 80528-8991 | 2017-07-27 |
| 1225389596 | Chris Penta, Psy.d., LLC | Psychologist | 46 Court St, Windsor, CT 06095-2909 | 2012-09-27 |
| 1821384629 | Richard Daniel Sutter | Psychologist | 975 E Windsor Rd, Windsor, MA 01270-9607 | 2011-06-21 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1215156567 | John J Defrancesco | Psychologist | 56 Pierce Blvd, Windsor, CT 06095-1788 | 2007-04-25 |
| 1215090634 | Chamberlee Miller Trowell | Psychologist | 102 E Watson St, Windsor, NC 27983-1742 | 2006-12-18 |
| 1447779509 | Tiffany Konsza | Psychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2017-09-11 |
| 1164814463 | Eli Aroesty | Psychologist | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2015-02-23 |
| 1740687862 | Eileen Roberts Ph.d. Inc. | Psychologist | 8911 Lakewood Dr Ste 25b, Windsor, CA 95492-7856 | 2014-12-04 |
| 1275873770 | Thomas D. Patenaude, Psy.d., L.L.C. | Psychologist | 41 Mechanic St, Windsor, CT 06095-2545 | 2013-02-20 |
| Find all providers in WINDSOR | ||||
Please comment or provide details below to improve the information on DR. TIMOTHY J. NANCE.
| 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.