Tina Bullock

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

70 S Water St
East Windsor, CT 06088-6600

Phone

(860) 623-3039

Fax

(860) 292-1518

NPI assigned

Nov 21, 2007

Last updated

Nov 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1275714032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HIGHLAND AVE",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293796",
            "telephone_number": "860-454-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 S WATER ST",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060886600",
            "telephone_number": "860-623-3039",
            "fax_number": "860-292-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLOCK",
        "first_name": "TINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin R Bloom, DMD
• Carol Anne Brackoneski, LCSW, LADC
• Andrea Braica
• Kimberly Brodeur, RPH
• Joan Ann Buchanan
• Joann Burnham, LCSW
• Maryum Campbell
• Brett G Carra, LCSW
• Chestnut Point Care Center
• Chestnut Point Care Center LLC (Touchpoints at Chestnut)

• Mental Health Counselor in East Windsor, CT
• Providers in East Windsor, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.