| Organization, Name | Practice Address | Practice Phone | Taxonomy | NPI |
| Albin, Dmitry Anatolyevich M.D. | 166 Waterbury Rd Suite 300 Prospect CT 06712-1200 | 203-709-5300 | 207R00000X | 1295906345 |
| OTHER FL MEDICAL LICIENSE : ME100204 || OTHER CT MEDICAL LICENSE : 53878 |
| Almeida, Carlos S MD | 166 Waterbury Rd Ste 300 Prospect CT 06712 | 203-758-0878 | 207R00000X | 1588633036 |
| Alvarez, Alexander J M.D. | 166 Waterbury Rd Ste 300 Prospect CT 06712 | 203-758-0878 | 207R00000X | 1447219571 |
| MEDICAID CT : 1303487 |
| Anthony, Ms. Sharon Anita MSW | 60 Waterbury Rd Ste D Prospect CT 06712-1251 | 203-527-9551 | 101YA0400X | 1427150358 |
| OTHER CT VALUE OPTIONS : 117555 || OTHER CT MHN : 176235 || OTHER CT ANTHEM : 140002956CT08 || OTHER CT OXFORD : P2573158 || OTHER CT CT MEDICAL ASSISTANCE LAD : 004257970 || OTHER CT HORIZON : 051790 || OTHER CT CT MEDICAL ASSISTANCE LCS : 004179116 || OTHER CT UBH : 62-49787 |
| August, Jeremy MD | 39a Waterbury Road Prospect CT 06712 | 203-758-6938 | 2084P0800X | 1821160961 |
| Augustauskas, Mark RPT | 21 Holley Ln 93 Waterbury Rd. Prospect CT 06712-1484 | 203-758-6569 | 225100000X | 1578561171 |
| OTHER CT STATE LICENSE, PHYSICAL T : 002427 |
| Beard, Ms. Lynn OTR/L | 93 Waterbury Rd Prospect CT 06712-1223 | 203-758-6569 | 225X00000X | 1003912825 |
| Betts, Sharon Ann RN | 29 Smoke Rise Cir Prospect CT 06712-1047 | 203-910-8225 | 163WC1500X | 1134793144 |
| Bianchini, John D P.T. | 44 Waterbury Rd Ste. 1c Prospect CT 06712-1242 | 203-758-5040 | 2251X0800X | 1073585386 |
| OTHER CT ANTHEM BC BS : 080007742CT01 || OTHER CT ANTHEM BC BS : 080007742CT02 || OTHER CT ANTHEM BCBS : 080007742CT06 |
| Bianchini, Kimberly Louise P.T. | 44 Waterbury Rd Suite 1c Prospect CT 06712-1242 | 203-758-5040 | 225100000X | 1407076896 |
| Bloechle, Mr. Heather Joyce COTA/L | 4 Summit Rd Suite C Prospect CT 06712-1485 | 203-440-3650 | 224Z00000X | 1982835963 |
| Bontempi, Mrs. Kristin LMFT | 44 Waterbury Rd Ste 2c Prospect CT 06712-1243 | 203-494-0796 | 106H00000X | 1770744054 |
| Capozzi, Dr. Kenneth Robert DDS | 2 Summit Rd Prospect CT 06712 | 203-758-4224 | 1223G0001X | 1497817464 |
| Charland, Mrs. Michele Ann MS CCC-SLP | 4 Summit Rd Ste C Prospect CT 06712-1485 | 203-758-0755 | 235Z00000X | 1871827485 |
| Chokshi, Dr. Natasha | 67 Waterbury Rd Prospect CT 06712-1218 | 203-758-4447 | 152W00000X | 1518316462 |
| Ciucci, Mrs. Denisa Emilia LMSW | 39a Waterbury Rd Prospect CT 06712-1249 | 203-758-3570 | 1041C0700X | 1376941625 |
| Ciucci, Mr. Stephen L.P.C. | 2 Summit Rd Suite L Prospect CT 06712-1426 | 203-758-3522 | 101YP2500X | 1558511238 |
| Colt, Hannah Elizabeth | 30 Blue Trail Dr Prospect CT 06712-1401 | 203-802-4696 | 2278E0002X | 1225636608 |
| D'aquila, Michael A PT | 166 Waterbury Rd Prospect CT 06712-1200 | 203-758-4118 | 225100000X | 1811999568 |
| Dalessandro, Mr. Jeffrey Paul RPH | Ezpharm Pharmacy 166 Waterbury Rd Prospect CT 06712 | 203-758-7227 | 183500000X | 1831230739 |
| Davis, Carolyn LCSW | 4 Summit Rd C Prospect CT 06712-1485 | 203-758-0755 | 1041C0700X | 1457688657 |
| Denomme, Mrs. Carol LCSW | 37 Clark Hill Rd Prospect CT 06712-1011 | 959-230-5013 | 1041C0700X | 1841883196 |
| Devaney, Mr. Kim Patrick R.PH. | 6 Luke St Prospect CT 06712-1427 | 203-758-4938 | 183500000X | 1114961364 |
| Dowling, Ms. Barbara S P.T. | 77 Salem Rd Prospect CT 06712-1518 | 203-758-5947 | 225100000X | 1295906196 |
| Doyle, Mrs. Kathleen Ann RPT | 4 Summit Rd Prospect CT 06712-1485 | 203-758-4278 | 225100000X | 1366439424 |
| Duffy, Patrick R Jr. M.D. | 166 Waterbury Rd Suite 301 Prospect CT 06712-1200 | 203-758-3163 | 207X00000X | 1912905621 |
| OTHER CT ANTHEM BCBS NON PAR (LLC) : 010027466CT03 || MEDICAID CT : 001274662 || OTHER CT OXFORD HEALTHPLANS : P1125487 || OTHER CT RR MEDICARE : P00209083 || OTHER CT UNITED HEALTH CARE : 201767500 |
| Dupere, Mrs. Tatiana N RPT REGISTERED PHYSI | 93 Waterbury Road Rifkin Physical Therapy And Lymphedema Center Llc Prospect CT 06712-1482 | 203-758-6569 | 225100000X | 1548445745 |
| Dvorkin, Terri J APRN | 166 Waterbury Rd Ste 300 Prospect CT 06712 | 203-758-0878 | 363L00000X | 1659340198 |
| OTHER BCBS : 400001762CT |
| Fogie, Charles William | 5 Cedar Hill Dr Prospect CT 06712-1006 | 203-758-4490 | 2255A2300X | 1922572627 |
| Forte, Nicholas A Jr. DC | 16 Waterbury Rd Prospect CT 06712-1215 | 203-758-3391 | 111N00000X | 1366572984 |
| Fusco, Leonard J D.M.D. | 44 Center St Prospect CT 06712-1639 | 203-758-6639 | 122300000X | 1326310590 |
| Gelinas, Catherine O.D. | 60 Waterbury Rd Prospect CT 06712-1250 | 203-758-5555 | 152W00000X | 1609000975 |
| Gomez, Ms. Laurene M. L.M.F.T. | 3 Skyline Dr Prospect CT 06712-1735 | 203-725-6776 | 106H00000X | 1053627224 |
| Gordon, Daniel Griswold LMFT | 60 Waterbury Rd Heritage Professional Suite 2a Prospect CT 06712-1250 | 203-560-1158 | 106H00000X | 1447364955 |
| Grabowski, Ms. Lisa BS | 73 Waterbury Rd Prospect CT 06712-1252 | 203-758-3316 | 183500000X | 1588027106 |
| Guynn, Robert Steven RPH | 8 Amber Ct Prospect CT 06712-1801 | 860-982-2831 | 183500000X | 1639739550 |
| Hajjar, George J LCSW | 389 Matthew St Prospect CT 06712-1417 | 203-768-9971 | 1041C0700X | 1104054709 |
| Higgins, Mr. Gary Arthur LCSW | 50 Waterbury Rd 2c Prospect CT 06712-1258 | 203-768-1021 | 1041C0700X | 1104851344 |
| MEDICAID CT : 004188365 |
| Hoerst, Jeffrey DPT | 166 Waterbury Rd Prospect CT 06712-1200 | 203-805-4795 | 225100000X | 1851892020 |
| Hudobenko, Ms. Debra Anne LCSW | 40 Union City Rd Ste 2b Prospect CT 06712 | 475-235-2361 | 1041C0700X | 1679746440 |
| Indorf, Ms. Mary Ann R.P.T. | 93 Waterbury Rd Prospect CT 06712-1223 | 203-756-6569 | 174400000X | 1124254925 |
| OTHER CT ANTHEM PROVIDER NUMBER : 080002495CT03 |
| Ippoliti, Vincent Frederick | 26 Waterbury Rd Prospect CT 06712-1215 | 203-758-3316 | 183500000X | 1851804975 |
| Johar, Dr. Archna MD | 166 Waterbury Rd Ste 201 Prospect CT 06712-1247 | 203-791-2020 | 207W00000X | 1902007438 |
| MEDICAID FL : 001148800 |
| Karklel, Ms. Joyce Ann PHYSICAL THERAPIST | 93 Waterbury Rd Prospect CT 06712-1223 | 203-758-6569 | 225100000X | 1821333154 |
| Katzin, Dr. Richard L M.D. | 166 Waterbury Rd Suite 201 Prospect CT 06712-1200 | 203-758-5733 | 207W00000X | 1649232281 |
| Kell, Amanda Kathryn | 166 Waterbury Rd Prospect CT 06712-1200 | 203-805-4795 | 225100000X | 1013450873 |
| Kemper, Dr. Jack David DMD | 60 Waterbury Rd Prospect CT 06712-1250 | 203-527-3855 | 122300000X | 1639701865 |
| Khan, Faraz M.D. | 166 Waterbury Rd Prospect CT 06712-1200 | 203-709-5300 | 207R00000X | 1417368325 |
| Kline, Lawrence N OD | 60 Waterbury Rd Prospect CT 06712-1250 | 203-758-5555 | 152W00000X | 1245444546 |
| Knapp, Dr. Katrina D.O. | 22 Holley Ln Prospect CT 06712-1483 | 203-808-6071 | 208000000X | 1578980033 |
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