Stephan Machattie (NPI# 1306217765, PAC ID# 0143508671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1306217765 |
| PAC ID by PECOS | 0143508671 |
| Professional Enrollment ID | I20161103000500 |
| Full Name | Stephan Machattie |
| Organization Legal Name | CULTIVATING CHANGE COUNSELING SERVICES, LLC |
| Address |
384 Merrow Rd Suite P Tolland CT 06084-3970 |
| Phone Number | 8604547454 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8628384484 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 384 Merrow Rd, Suite P, Tolland, CT 06084-3970 | 8604547454 | CULTIVATING CHANGE COUNSELING SERVICES, LLC |
| Organization Legal Name | CULTIVATING CHANGE COUNSELING SERVICES, LLC |
| Physicians | 1 |
| Street Address |
384 MERROW RD SUITE P |
| City | TOLLAND |
| State | CT |
| Zip | 06084-3970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald Bayona | Internal Medicine | Prohealth Physicians PC | 384 Merrow Rd, K, Tolland, CT 06084-3970 |
| Helen T Charette | Clinical Social Worker | 384 Merrow Rd, Suite P, Tolland, CT 06084-3970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wendy S Garvin | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Audrey M Kemp | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Katlin Luu | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Marvelle L Lindo | Nurse Practitioner | Prospect Ct Medical Foundation, Inc. | 26 Shenipsh Lake Rd, Tolland, CT 06084-2332 |
| Lisa Jane Backus | Psychologist, Clinical | 129 Tolland Stage Rd, Suite 1, Tolland, CT 06084-2343 | |
| Victoria Guglielmone | Clinical Social Worker | Connected Counseling LLC | 14 Pinegrove Dr, Tolland, CT 06084-2603 |
| Guy W Gottier | Chiropractic | Westside Chiropractic of Tolland, LLC | 68 Hartford Tpke, Tolland, CT 06084-2866 |
| Christopher C Prewo | Chiropractic | Westside Chiropractic of Tolland, LLC | 68 Hartford Tpke, Tolland, CT 06084-2866 |
| Erin A Shepherd | Chiropractic | Westside Chiropractic of Tolland, LLC | 68 Hartford Tpke, Tolland, CT 06084-2866 |
| Marian L Vitali | Chiropractic | Westside Chiropractic of Tolland, LLC | 68 Hartford Tpke, Tolland, CT 06084-2866 |
| Find all physicians in zip 06084 | |||
| City | TOLLAND |
| Zip Code | 06084 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | TOLLAND + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.