Provider Demographics
NPI:1063562098
Name:SCHEIDEL, CATHERINE A (MS,BA,LMFT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:SCHEIDEL
Suffix:
Gender:F
Credentials:MS,BA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 E MAIN ST
Mailing Address - Street 2:4TH FLOOR ADMINISTRATION
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06702-2310
Mailing Address - Country:US
Mailing Address - Phone:203-574-9000
Mailing Address - Fax:203-574-9006
Practice Address - Street 1:141 E MAIN ST
Practice Address - Street 2:WATERBURY CLINICAL SERVICES
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06702-2310
Practice Address - Country:US
Practice Address - Phone:203-756-7287
Practice Address - Fax:203-574-9000
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2016-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000692106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CT060669107OtherOPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
CT060669107OtherUBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT008037445Medicaid
CT11244449OtherCAQH
CT5307750OtherAETNA BEHAVIORAL HEALTH
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH
CT060669107OtherHEALTHYCT WELLMORE GRP/FACILITY
CT060669107OtherUBH/CONNECTICARE WELLMORE GRP/FACILITY
CT060669107OtherUBH/LIBERTY-FREEDOM WELLMORE GRP/FACILITY
CT193649OtherMHN MANAGED HEALTH NETWORK
CT193649 PENDINGOtherMHN TRICARENORTH
CTD339123 WATERBURYOtherBEACON HEALTH STRATEGIES WELLMORE GRP/FACILITY
CT193649OtherMHN MANAGED HEALTH NETWORK