Naugatuck Valley Counseling and Med Management

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NAUGATUCK VALLEY COUNSELING AND MED MANAGEMENT

Practice address

276 Highland Ave Ste 2
Waterbury, CT 06708-3022

Phone

(203) 518-8218

Fax

(844) 833-5610

NPI assigned

Oct 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mohamed Elsamra, MD

Title

Owner

Phone

(203) 518-8218

Specialties & licenses 9

Addresses

Other names 1

• Restart Health and Wellness LLC Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darian Andre Coleman, LPC

  • Professional Counselor
  • Waterbury, CT
  • NPI 1003386939
  NPD
• Kenya Camay Dubenetsky, LMSW

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1780456285
  NPD
• Jacenya Marie Nguyen, LPC

  • Mental Health Counselor
  • Waterbury, CT
  • NPI 1417449372
  NPD
• Julia Savio, LMFT

  • Marriage & Family Therapist
  • Meriden, CT
  • NPI 1629689856
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1255972022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ELLIS RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065124627",
            "telephone_number": "203-518-8218",
            "fax_number": "844-833-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 HIGHLAND AVE STE 2",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083022",
            "telephone_number": "203-518-8218",
            "fax_number": "844-833-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Straits Tpke Ste 101",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067622843",
            "country_code": "US",
            "telephone_number": "203-518-8218",
            "fax_number": "844-833-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAUGATUCK VALLEY COUNSELING AND MED MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "ELSAMRA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-518-8218",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restart Health and Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Farid Nasr Esfahani, MD
• Iryan Nasser
• Alyssa Lee Natalino, R.D.H
• National Vision Inc
• Naugatuck Valley Computerized Imaging
• Naugatuck Valley Ear, Nose and Throat Associates, LLC
• Naugatuck Valley Endoscopy Center, LLC
• Naugatuck Valley Gastroenterology Consultants LLC
• Naugatuck Valley MRI LLC
• Naugatuck Valley OB-GYN

• Psychiatry Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.