Barcelos, Nicole M

Barcelos, Nicole M is an sole proprietor health care provider with primary practice located at 100 Deerfield Rd , Windsor CT 06095-4252. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Barcelos, Nicole M can be contacted via phone (860) 270-0600.

Contact Information

Primary practice address
100 Deerfield Rd Windsor CT 06095-4252
Phone: (860) 270-0600
Fax: (860) 748-4432
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3566 Connecticut
Behavioral Health & Social Service Providers / Clinical 103TC0700X 021324 New York
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 021324 New York
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3566 Connecticut

Profile Details

NPI number 1467820944
LBN Legal business name Barcelos, Nicole M
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2015
Last updated Jul 25th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467820944 NPPES
New York Other V38N41 EMPIRE BLUECROSS
New York Other 000427298001 EMPIRE BLUECROSS
New York Other PRC200326293 EMPIRE BLUECROSS

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