CORNELL SCOTT HILL HEALTH CORPORATION (NPI# 1962477968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962477968 |
Entity Type | Organization |
Organization Name | CORNELL SCOTT HILL HEALTH CORPORATION |
Other Organization Name | CORNELL SCOTT HILL HEALTH CENTER |
Practice Address |
400 Columbus Ave New Haven CT 06519-1233 |
Mailing Address |
Po Box 7720 Credentialing Specialist New Haven CT 06519-0720 |
Practice Telephone | 2035033000 |
Practice Fax Number | 2035036515 |
Mailing Telephone | 2035033174 |
Mailing Fax Number | 2035036515 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2020-04-29 |
Authorized Official Name | MICHAEL R TAYLOR (CEO) |
Authorized Official Telephone | 2035033274 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Cornell Scott Hill Health Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538377148 | Cornell Scott Hill Health Corporation | Clinical Medical Laboratory | 36 East Industrial Rd, Branford, CT 06405 | 2007-05-18 |
1902921380 | Cornell Scott Hill Health Corporation | Psychiatry & Neurology | 400-428 Columbus Avenue, New Haven, CT 06519-1233 | 2007-03-21 |
1104941806 | Cornell Scott Hill Health Corporation | Substance Abuse Rehabilitation Facility | 232 Cedar St., South Central Rehabilitation Center, New Haven, CT 06519-1610 | 2007-03-20 |
1205105095 | Cornell Scott Hill Health Corporation | Registered Nurse | 400 Columbus Ave, New Haven, CT 06519-1233 | 2011-12-22 |
1508161720 | Cornell Scott Hill Health Corporation | Clinic/Center | 428 Columbus Ave, Internal Medicine, New Haven, CT 06519-1233 | 2011-01-19 |
1578866364 | Cornell Scott Hill Health Corporation | Clinic/Center | 62 Grant St, Grant Street Partnership, New Haven, CT 06519-2514 | 2010-12-16 |
1427351626 | Cornell Scott Hill Health Corporation | Clinic/Center | 911 State St, State Street Health Services, New Haven, CT 06511-3926 | 2010-12-09 |
1407159841 | Cornell Scott Hill Health Corporation | Clinic/Center | 226 Dixwell Ave, Dixwell Health Center, New Haven, CT 06511-3456 | 2010-12-07 |
1316240757 | Cornell Scott Hill Health Corporation | Clinic/Center | 121 Wakelee Ave, Ansonia, CT 06401-1198 | 2010-12-07 |
1841592466 | Cornell Scott Hill Health Corporation | Clinic/Center | 285 Main St, West Haven Health Center, West Haven, CT 06516-7307 | 2010-12-02 |
Street Address |
400 COLUMBUS AVE |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043209091 | Robin Goldberg | Dentist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2005-10-20 |
1871190579 | Ashley Salter | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-10-06 |
1679199095 | Kathleen Mary Mcmahon-brown | Nurse Practitioner | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-06-22 |
1003443219 | D'amira Kendrick | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-03-26 |
1821628108 | Jonathan Ruiz | Marriage & Family Therapist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2020-01-25 |
1205495785 | Julia Stark Oricchio | Nurse Practitioner | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2019-06-10 |
1174004758 | Taylor Catherine Rispoli | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2018-08-22 |
1548769235 | Carolina Bunta | Marriage & Family Therapist | 400 Columbus Ave, Apc, New Haven, CT 06519-1233 | 2018-02-07 |
1740728559 | Ervis Shehu | Pharmacist | 400 Columbus Ave, New Haven, CT 06519-1233 | 2017-02-01 |
1265985725 | Grace Kindilien Moskowitz | Social Worker | 400 Columbus Ave, New Haven, CT 06519-1233 | 2016-08-01 |
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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 | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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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.