Waterside Behavioral Health, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WATERSIDE BEHAVIORAL HEALTH, LLC

Practice address

130 Montowese St
Branford, CT 06405-3841

Phone

(203) 535-5522

Fax

(812) 759-9869

NPI assigned

Jan 12, 2017

Last updated

Jan 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara L Greenspan, PSYDNPI 1548544869

Title

Owner

Phone

(203) 535-5522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Greenspan, PSYD

  • Clinical Psychologist
  • Madison, CT
  • NPI 1548544869
  Medicare reassignment Authorized official
• Christopher Greene, LCSW

  • Clinical Social Worker
  • Guilford, CT
  • NPI 1578631297
  NPD (past)

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1275079394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 385",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064430385",
            "telephone_number": "812-853-9110",
            "fax_number": "812-759-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053841",
            "telephone_number": "203-535-5522",
            "fax_number": "812-759-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERSIDE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "GREENSPAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-535-5522",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alesia Janese Wall
• Kathleen Walsh, MA, LPC
• Natalie Walters, APRN
• Gary R Wanerka, M.D.
• Stephen Waters, R.PH., PH.D.
• Gwendolyn Wayne, LCSW, CMTPT, LMT
• Waypoint Counseling and Psychotherapy, LLC
• Franchesca Wedderburn, LCSW
• Jordan Welch
• Belinda J Westerlund

• Clinical Psychologist in Branford, CT
• Providers in Branford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.