DR. ELLEN G COLOCCIA (NPI# 1992727036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992727036 |
| Entity Type | Individual |
| Full Name | DR. ELLEN G COLOCCIA |
| Other Name | ELLEN G VENNOLA |
| Credential | PSY.D. |
| Practice Address |
51 Broad Street Middletown CT 06457 |
| Mailing Address |
51 Broad St. Middletown CT 06457 |
| Practice Telephone | 8603583401 |
| Practice Fax Number | 8603583403 |
| Mailing Telephone | 8603583419 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2853 | CT | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
002853 | CT | Behavioral Health & Social Service Providers |
| Street Address |
51 BROAD STREET |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013018589 | Samantha Wesley Kohn | Psychologist | 790 Route 211 E, Middletown, NY 10941-1448 | 2006-09-26 |
| 1548664295 | Center for Conscious Healing | Psychologist | 292 Carter Dr, Suite B, Middletown, DE 19709-5846 | 2014-10-09 |
| 1083035455 | Athena Anne Drewes | Psychologist | 390 Crystal Run Rd, Suite 107, Middletown, NY 10941-4050 | 2014-01-02 |
| 1366593477 | Patrick Joseph Russolillo | Psychologist | 154 College St, Middletown, CT 06457-3201 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730912 | Chelsea Morgan | Psychologist | 300 George St Ste 900, New Haven, CT 06511-6660 | 2020-11-08 |
| 1073127270 | Whitney Buckley | Psychologist | 2505 Black Rock Tpke Ste 2, Fairfield, CT 06825-2408 | 2020-09-04 |
| 1194333823 | Brian Joseph Lussier | Psychologist | 15 Preston Rd, Terryville, CT 06786-4209 | 2020-07-20 |
| 1407403934 | Educational Advancement Associates | Psychologist | 15 Schoolhouse Lndg, East Granby, CT 06026-2601 | 2019-08-20 |
| 1053770982 | Lori Attanasio Woodring | Psychologist | 7 Sylvan Ln, Old Greenwich, CT 06870-2318 | 2016-02-20 |
| 1831562255 | Carlene Davidson | Psychologist | 300 Hebron Ave Ste 217, Glastonbury, CT 06033-2192 | 2015-11-06 |
| 1912387606 | Kathryn Hagen | Psychologist | 86 John St Apt C, New Britain, CT 06051-2762 | 2015-06-08 |
| 1376947937 | Nicholas Gelbar | Psychologist | 222 Warrenville Rd, Mansfield Center, CT 06250-1128 | 2014-10-10 |
| 1710320049 | David Gallaway | Psychologist | 238 Ratlum Rd, New Hartford, CT 06057-2318 | 2013-04-17 |
| 1992056675 | New Connection Inc | Psychologist | 446 Blake St # 200a, New Haven, CT 06515-1286 | 2012-09-21 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on DR. ELLEN G COLOCCIA.
| 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.