Nicholas John Bellacicco

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

81124 Issued in CT

Practice address

65 Memorial Rd Ste 508
West Hartford, CT 06107-4233

Phone

(860) 696-2925

NPI assigned

Apr 6, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Neurology

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1003495052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL RD STE 508",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061074233",
            "telephone_number": "860-696-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL RD STE 508",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061074233",
            "telephone_number": "860-696-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLACICCO",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "81124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Beck
• Kathleen Mary Becker-St. Germain, LCSW
• Becoming Suryani LLC
• Robert M Bedard, MD
• Bee Balm Consulting, LLC
• Jamie Marie Bellenoit, PHD
• Carly Bendzans, CNM
• Karen Benjamin, L.C.S.W.
• Anita Boyd Bennett, M.D.
• Barbara S Bennett, LMFT

• All providers in West Hartford, CT
• Neurology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.