Connecticut Renaissance, Inc.
A Medicare group practice based in Norwalk, CT: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0941253728), with 8 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0941253728
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- CT
- Enrollments
- 1
- Group size
- 5 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050222000611 | CT | Part B Supplier - Clinic/Group Practice | 1700893807 |
NPIs in this group 6
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Connecticut Renaissance, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Stamford, CT
- NPI 1700893807
-
Connecticut Renaissance, Inc
dba CT Renaissance
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, CT
- NPI 1265449359
-
Connecticut Renaissance, Inc.
dba CT Renaissance
- Substance Abuse Rehabilitation Facility
- Waterbury, CT
- NPI 1669617973
-
Connecticut Renaissance, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Waterbury, CT
- NPI 1700352721
-
Connecticut Renaissance, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Bridgeport, CT
- NPI 1720130362
-
Connecticut Renaissance, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Bridgeport, CT
- NPI 1740297845
Practice locations
- Shelton, CT1
- Waterbury, CT1
- Norwalk, CT1
Clinicians 8
Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (5).
-
Alisa Brochu, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Waterbury, CT
- NPI 1730829391
-
Robert Guerrera, M.D.
- Psychiatry Physician
- Wilton, CT
- NPI 1033232228
-
Melodie Keen, LADC
- Addiction (Substance Use Disorder) Counselor
- Norwalk, CT
- NPI 1689945438
-
Dawn Patston, LMFT
- Mental Health Counselor
- Bridgeport, CT
- NPI 1508137381
-
Lori Pelosi, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Milford, CT
- NPI 1649521352
-
Jennifer Reid, LCSW
- Clinical Social Worker
- New Milford, CT
- NPI 1568094894
-
Kenyatta Tolbert, LCSW
- Clinical Social Worker
- Bridgeport, CT
- NPI 1497223887
-
Amy A Vitale, MS,BA,LADC,LPC
- Addiction (Substance Use Disorder) Counselor
- Branford, CT
- NPI 1821424706
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.