Maria J Guglielmino, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

002622 Issued in CT

Practice address

8 Crescent St
Middletown, CT 06457-3602

Phone

(860) 344-6394

Fax

(860) 344-6748

NPI assigned

Mar 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maria Guglielmino, Psy.D., LLC

  • Clinical Psychologist
  • Woodbury, CT
  • NPI 1821394925
  Medicare reassignment NPD Authorized official
• Middlesex Hospital

  • Community Based Hospice Care Agency
  • Middletown, CT
  • NPI 1003873233
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013978881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573654",
            "telephone_number": "860-344-6394",
            "fax_number": "860-344-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CRESCENT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573602",
            "telephone_number": "860-344-6394",
            "fax_number": "860-344-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGLIELMINO",
        "first_name": "MARIA",
        "middle_name": "J",
        "credential": "PSY D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LIC #",
            "identifier": "002622",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Grohs, PHARMD
• Grow With Me Speech Therapy, LLC
• Vincenza Guariniello, PSY.D.
• Laurel J Guertin, LCSW
• Olivia Gisela Guevara
• Lynnette Michelle Guida, N.D., L.AC
• Jiasheng Guo, D.O.
• Anjana Gupta, MD
• James Gusfa, DO
• Meghan Guzewicz

• Clinical Psychologist in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.