Madonna Kay Fasula, A.P.R.N.

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

002435 Issued in CT

Practice address

100 York St Ste 2J
New Haven, CT 06511-5664

Phone

(203) 764-9131

Fax

(203) 764-5963

NPI assigned

Aug 16, 2010

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

Practice roles

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.

• Spectrum Psychiatric Group PC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Hamden, CT
  • NPI 1518142058
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281916800000",
    "number": "1053626929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YORK ST STE 2J",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115664",
            "telephone_number": "203-764-9131",
            "fax_number": "203-764-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YORK ST STE 2J",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115664",
            "telephone_number": "203-764-9131",
            "fax_number": "203-764-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASULA",
        "first_name": "MADONNA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "002435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Panzini Farrell, MD
• Jacquelyn D. Farrell, LCSW
• James Joseph Farrell, MD
• Jennifer Farrell, M.SC.
• Brittany Fasanelli, RN
• Bushra Fathima, MD
• Atikah B Fatholrazak, RN BSN
• Olusola Fatoke
• Christina Fatse, CRNA
• Jenna Danielle Faulkner-Filosa, MSW, LCSW

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in New Haven, CT
• Providers in New Haven, CT by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.