Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mdlive Medical Group PA

Organization Counselor · NPI 1154039295

Mdlive Medical Group PA is a Counselor in Bloomfield, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
5
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Cottage Grove Rd
Bloomfield, CT 06002-2920
Phone: (800) 400-6354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Counselor Taxonomy 101Y00000X
Psychologist Taxonomy 103T00000X
Social Worker Taxonomy 104100000X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1154039295
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMdlive Medical Group PA
Authorized official Sue-Ann Adrians — Gp Pm · (945) 275-1345
NPI enumeratedNovember 8, 2022
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing addressPo Box 5006, Hartford, CT 06102-5006

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