Warren Corson IV

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

489 Wolcott St
39
Bristol, CT 06010-6469

Phone

(860) 543-2384

NPI assigned

Mar 14, 2016

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: warren.corsoniv.p1@direct.wheelerclinic.nextgenshare.com

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.

• Kind Attention Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Bristol, CT
  • NPI 1063147460
  NPD Authorized official

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1033570486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WOLCOTT ST",
            "address_2": "39",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106469",
            "telephone_number": "860-543-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WOLCOTT ST",
            "address_2": "39",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106469",
            "telephone_number": "860-543-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSON",
        "first_name": "WARREN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber A Corbalis, APRN
• Raechaell Corbett, MS OTR/L
• Marissa Corry
• Julie Ann Corsino, LCSW
• Lisa Corson, LPC
• Warren Corson III, PH.D.
• Elizabeth Anne Costello, RPH
• Septimiu Cozmuta
• James F Craig, DC
• Olivia Elise Cratty

• Professional Counselor in Bristol, CT
• Providers in Bristol, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.