Clare Gelissen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000595 Issued in CT

Practice address

103 Danbury Rd
Ridgefield, CT 06877-4105

Phone

(203) 431-9726

NPI assigned

Feb 19, 2008

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clare.gelissen@gdchc.eclinicaldirectplus.com

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

• Connecticut Institute for Communities Inc

  • Federally Qualified Health Center (FQHC)
  • Danbury, CT
  • NPI 1780918045
  Medicare reassignment NPD
• Connecticut Institute for Communities Inc

  • Federally Qualified Health Center (FQHC)
  • Danbury, CT
  • NPI 1528499969
  NPD

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1720256241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774105",
            "telephone_number": "203-431-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DANBURY RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774105",
            "telephone_number": "203-431-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELISSEN",
        "first_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolann Galban, MD
• James Edward Galloway, L.C.S.W.
• Keri Beth Gamberg, MS
• Disha S. Gandbhir, PT
• Tricia B Gantert, PT
• Robert M Gell, DDS
• Christopher D Genn, DPT
• Jeff Genova, DMD
• Genovese Drug Stores Inc
• Anastasios K Georgiou

• Marriage & Family Therapist in Ridgefield, CT
• Providers in Ridgefield, 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 Feb 19, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.