Liberation Programs Inc
A Medicare group practice based in Stamford, CT: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8729413604), with 24 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8729413604
- Provider type
- Part B Supplier - Clinic/Group Practice, Part B Supplier - Opioid Treatment Program (Otp)
- Enrolled in
- CT
- Enrollments
- 2
- Group size
- 11 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20200123000527 | CT | Part B Supplier - Opioid Treatment Program (Otp) | 1316067481 |
| O20211028002480 | CT | Part B Supplier - Clinic/Group Practice | 1316067481 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Liberation Programs Inc
- Adult Mental Health Clinic/Center
- Bridgeport, CT
- NPI 1316067481
-
Liberation Programs Inc
- Adult Mental Health Clinic/Center
- Stamford, CT
- NPI 1649390733
Practice locations
- Stamford, CT5
- Bridgeport, CT2
- Greenwich, CT1
Clinicians 24
Clinicians who reassign their Medicare benefits to this group (24) or whom Care Compare lists as members (11).
-
Joanna Boback, DNP, APRN, FNP-BC
- Family Nurse Practitioner
- Bridgeport, CT
- NPI 1225720121
-
Ashlynn V Cote, LCSW
- Clinical Social Worker
- Bridgeport, CT
- NPI 1265188957
-
Amy Leigh Dorsey, LCSW
- Clinical Social Worker
- Norwalk, CT
- NPI 1811489545
-
Lucinda Margaret Dubois, LCSW, LADC
- Counselor
- Shelton, CT
- NPI 1215460472
-
Kathleen A Ennis, APRN, DNPC
- Family Nurse Practitioner
- Cos Cob, CT
- NPI 1750417358
-
Sierra Elizabeth Gallagi, LCSW
- Clinical Social Worker
- New Haven, CT
- NPI 1487271540
-
Alicia Hinds, FNP-C
- Family Medicine Physician
- Bridgeport, CT
- NPI 1215891213
-
Robert L Horn, LCSW
- Clinical Social Worker
- Stamford, CT
- NPI 1033922125
-
Nicole Marie Jezairian, LCSW
- Clinical Social Worker
- Greenwich, CT
- NPI 1457185704
-
Clive Lloyd Johnson, D.O
- Internal Medicine Physician
- Stamford, CT
- NPI 1053500447
-
Ann McCue, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Cos Cob, CT
- NPI 1609317536
-
Emily Rachel Mihailescu, APRN
- Family Nurse Practitioner
- Bridgeport, CT
- NPI 1053970939
-
Alisa Mujagic, LPC
- Counselor
- Greenwich, CT
- NPI 1477309557
-
Ramon Antonio Nieves Jr., LCSW
- Clinical Social Worker
- Shelton, CT
- NPI 1700285319
-
Carolee Anne Paruta, LMFT, LADC
- Marriage & Family Therapist
- Wilton, CT
- NPI 1104348176
-
Donna M. Santos, LPC
- Professional Counselor
- Naugatuck, CT
- NPI 1952995540
-
Sunil Saxena, M.D.
- Child & Adolescent Psychiatry Physician
- White Plains, NY
- NPI 1346259637
-
Cassandra Scott, D.O
- Emergency Medicine Physician
- Bronx, NY
- NPI 1144503285
-
Rose Shea, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Bridgeport, CT
- NPI 1801511217
-
Yeharar Stephen, LPC
- Professional Counselor
- Stamford, CT
- NPI 1497348494
-
Anne Margaret Tarnasky, MA, LPC
- Professional Counselor
- Norwalk, CT
- NPI 1144850082
-
Ruth Sandra Theaman, LCSW-R
- Clinical Social Worker
- Greenwich, CT
- NPI 1134858806
-
Samantha Usherov, APRN
- Clinical Social Worker
- Norwalk, CT
- NPI 1902476096
-
Beverly Waczek
- Medical Physician Assistant
- Waterbury, CT
- NPI 1629094131
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.