Eliza K Pezzulo, MFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

2608 Issued in CT

Practice address

370 Linwood St
New Britain, CT 06052-1949

Phone

(860) 515-2330

NPI assigned

Jul 14, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1053983585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LOOMIS AVE",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060622418",
            "telephone_number": "860-681-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LINWOOD ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521949",
            "telephone_number": "860-515-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZULO",
        "first_name": "ELIZA",
        "middle_name": "K",
        "credential": "MFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "2608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Eliza.pezzulo@klingberg.com",
            "affiliation": "Y",
            "affiliationName": "Klingberg Family Centers Inc",
            "address_1": "370 Linwood St",
            "city": "New Britain",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060521949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William James Pesce, D.O.
• Amiyah Peters
• Jake Petillo
• William A. Petit Jr., MD
• Carrie Ann Petrow, PTA/L
• Hannah Pfeffer
• Jacquelyne Phanavong
• Jana Pharoun, M.D.
• Dennis Brian Phelan, PA-C
• Thelma M Philips

• Marriage & Family Therapist in New Britain, CT
• Providers in New Britain, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.