Provider Demographics
NPI:1952677304
Name:GILMAN-YAP, NICOLE BROOKE (MA,BA,LPC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:BROOKE
Last Name:GILMAN-YAP
Suffix:
Gender:F
Credentials:MA,BA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 E RAMSDELL ST
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-1140
Mailing Address - Country:US
Mailing Address - Phone:203-781-4600
Mailing Address - Fax:
Practice Address - Street 1:54 E RAMSDELL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1140
Practice Address - Country:US
Practice Address - Phone:203-781-4600
Practice Address - Fax:203-781-4624
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2967101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008024427Medicaid
CTNOT ELIGIBLEOtherCIGNA BEHAVIORAL HEALTH
CT060669107OtherUBH/UNITED HEALTHCARE WELLMORE GRP/FACILITY
CT008039745Medicaid
CT008023170Medicaid
CT060669107OtherANTHEM BCBS OF CT WELLMORE GRP/FACILITY
CTNOT ELIGIBLEOtherMHN MANAGED HEALTHNETWORK
CT008065488Medicaid
CT060669107OtherUBH/CONNECTICARE WELLMORE GRP/FACILITY
CT13830404OtherCAQH
CTD339123OtherBEACON HEALTH STRATEGIES
CT0606691007OtherOPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY
CTNOT ELIGIBLEOtherMHN/TRICARENORTH
CTPENDINGOtherAETNA BEHAVIORAL HEALTH
CT060669107OtherUBH/OXFORD LIBERTY/FREEDOM WELLMORE GRP/FACILITY
CTD339123OtherBEACON HEALTH STRATEGIES