Provider Demographics
NPI:1538430863
Name:NUTRITIONAL AND BEHAVIORAL CARE
Entity type:Organization
Organization Name:NUTRITIONAL AND BEHAVIORAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST / PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIAPPCASSE-JANETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MSW
Authorized Official - Phone:203-431-3438
Mailing Address - Street 1:158 DANBURY RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:RIDGEFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06877-3227
Mailing Address - Country:US
Mailing Address - Phone:203-431-3438
Mailing Address - Fax:
Practice Address - Street 1:158 DANBURY RD
Practice Address - Street 2:SUITE 4
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-3227
Practice Address - Country:US
Practice Address - Phone:203-431-3438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Single Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty