My Catholic Doctor, P.L.L.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MY CATHOLIC DOCTOR, P.L.L.C.

Doing business as

MyCatholicDoctor

Practice address

711 Silvermine Rd
New Canaan, CT 06840-4329

Phone

(314) 435-6105

NPI assigned

Feb 14, 2019

Last updated

May 3, 2022By 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

Dr. Kathleen Mary Berchelmann, MDNPI 1376565416

Title

Ceo

Phone

(314) 435-6105

Specialties & licenses 1

Addresses

Other names 1

• MyCatholicDoctor Doing business as

Medicare fee-for-service enrollment

Enrolled in OH, CT, NH, MI, KS, CO, LA, TX, OR, NV, SD, AZ, GA, VA, NC, TN, KY, VT, WI, ID, IL, FL, MD, NE, DC25 enrollments

Enrollment records 25

Locations (25 of 31)

Practitioners 127

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.

• Kathleen Mary Berchelmann, MD

  • Pediatrics Physician
  • New Canaan, CT
  • NPI 1376565416
  Medicare reassignment Care Compare group Authorized official
• Jennifer C Morton, PT, DPT

  • Physical Therapist
  • Stamford, CT
  • NPI 1063853828

  CO

  Medicare reassignment Care Compare group NPD
• Kim Marie Reyes, M.D.

  • General Practice Physician
  • Stamford, CT
  • NPI 1548203748
  Medicare reassignment Care Compare group NPD
• Kimberly A. Barrows, MD

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1083666101
  Medicare reassignment Care Compare group NPD
• Maura Buete, MD

  • Family Medicine Physician
  • Sarasota, FL
  • NPI 1477533552

  CT

  Medicare reassignment Care Compare group NPD
• Kristin Janeice Burgher, MD

  • Family Medicine Physician
  • Portland, OR
  • NPI 1356598239
  Medicare reassignment Care Compare group NPD
• Eric Collins, MD

  • Psychiatry Physician
  • Pontiac, MI
  • NPI 1073134771
  Medicare reassignment Care Compare group NPD
• Daniel Robert Fial, CNP

  • Acute Care Nurse Practitioner
  • Euclid, OH
  • NPI 1821551631

  CT

  Medicare reassignment Care Compare group NPD
• Jean C Kenkel, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
  • NPI 1730891045
  Medicare reassignment Care Compare group NPD
• Mark Francis Mailhot, MD

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1861534075
  Medicare reassignment Care Compare group NPD
• Melanie Rylander, M.D.

  • Internal Medicine Physician
  • Aurora, CO
  • NPI 1629261052

  CT

  Medicare reassignment Care Compare group NPD
• Jillian Marie Stecklein, DPT

  • Physical Therapist
  • Hays, KS
  • NPI 1376952929
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1396201307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SILVERMINE RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404329",
            "telephone_number": "314-435-6105",
            "fax_number": "203-590-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SILVERMINE RD",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404329",
            "telephone_number": "314-435-6105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "373 S Willow St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031035751",
            "country_code": "US",
            "telephone_number": "203-590-9360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "606 Laurel Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "Loveland",
            "state": "OH",
            "postal_code": "451406949",
            "country_code": "US",
            "telephone_number": "314-888-5233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY CATHOLIC DOCTOR, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "BERCHELMANN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-435-6105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyCatholicDoctor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyCatholicDoctor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Garruto Morgan, NP
• Tammy Moscrip, PHD, MSW
• Diane Murphy-Kivell, ATC
• Keriann Mussi
• My Acorn Therapy, PLLC
• New Canaan Chiropractic LLC
• New Canaan Dental Arts PLLC
• New Canaan Group Home Inc
• New Canaan Internal Medicine LLC
• New Canaan Medical Group PC

• Pediatrics Physician in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.