Roeder and Polansky Family and Child Associates

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

ROEDER AND POLANSKY FAMILY AND CHILD ASSOCIATES

Practice address

300 Plaza Middlesex
Middletown, CT 06457

Phone

(860) 347-9911

Fax

(860) 347-8120

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Keith Roeder, CLINICAL PSYCHOLOGISNPI 1912932294

Title

Director Owner

Phone

(860) 347-9911

Specialties & licenses 1

Addresses

Other names 1

• Hiebel and Roeder Family and Child Associates Former legal business name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 6

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

• Keith Roeder, PSYD

  • Psychologist
  • Middlesex, CT
  • NPI 1912932294
  Medicare reassignment NPD Authorized official
• Dina N Weis, PHD

  • Psychologist
  • Middletown, CT
  • NPI 1093751521
  NPD
• Laura Porter Baker, MSW LCSW

  • Clinical Social Worker
  • West Hartford, CT
  • NPI 1720200694
  NPD (past)
• Leah Kotler Bell, LCSW

  • Clinical Social Worker
  • Ellington, CT
  • NPI 1093741621
  NPD (past)
• George V Moore Jr.

  • Social Worker
  • Canterbury, CT
  • NPI 1407883366
  NPD (past)
• Laurie Stevens, PHD

  • Psychologist
  • Middletown, CT
  • NPI 1376588772
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1679508956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PLAZA MIDDLESEX",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-347-9911",
            "fax_number": "860-347-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PLAZA MIDDLESEX",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "06457",
            "telephone_number": "860-347-9911",
            "fax_number": "860-347-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROEDER AND POLANSKY FAMILY AND CHILD ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "860-347-9911",
        "authorized_official_credential": "CLINICAL PSYCHOLOGIS"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hiebel and Roeder Family and Child Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dina Roche, MD
• Kaitlin Adams Roche, APRN
• Michelle Rodriguez Aguayo, M.D., MPH
• Aurivellise Rodriguez, LPC
• Racquel Monique Rodriguez
• Gary Vincent Roegiers, PT, DC
• Maryanne R. Roegiers, M.D.
• John E Rogan, MD
• Anna Rogulina
• Tina Roman, MD

• Marriage & Family Therapist in Middletown, CT
• Providers in Middletown, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.