Rio Comaduran

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10835 Issued in CT

Practice address

58 Pomperaug Rd
Woodbury, CT 06798-3713

Phone

(203) 313-5537

NPI assigned

Nov 3, 2017

Last updated

Nov 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rio.comaduran.1@28623.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Plantsville, CT
  • NPI 1164203238
  Medicare reassignment Care Compare group NPD
• A Brand New Day ABA Services LLC

  • Behavior Analyst
  • Milldale, CT
  • NPI 1447795067
  NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD
• The Connection Inc

  • Adult Mental Health Clinic/Center
  • Hartford, CT
  • NPI 1750807426
  NPD (past)

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1477065043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 DUNNE AVE",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193321",
            "telephone_number": "860-543-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 POMPERAUG RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983713",
            "telephone_number": "203-313-5537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 S Highland St",
            "address_purpose": "LOCATION",
            "city": "West Hartford",
            "state": "CT",
            "postal_code": "061191826",
            "country_code": "US",
            "telephone_number": "413-588-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMADURAN",
        "first_name": "RIO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Jane Campbell, MS,MED
• Kelley Castler, LPCA
• Judith Mangan Charles, LPC
• Michael Stephen Chase
• Amanda Chrostowski
• Compass Behavioral Health LLC
• Phillip Corbi, M.S. BCBA
• Cornerstone Physical Therapy, LLC
• Ellen Cozan Tinios
• Eva Davidson

• Clinical Social Worker in Woodbury, CT
• Providers in Woodbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.