Active NPI
Emily A Laurenzano, D.O.
- Psychiatry Physician
- Middletown, CT
National Provider Identifier
1063755296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 70311
- Practice address
- 1250 Silver St
Middletown, CT 06457-3946 - Phone
- (877) 577-3233
- NPI assigned
- Apr 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 270307 | MA | |
| Psychiatry Physician | 2084P0800X | 70311 | CT | Primary |
Addresses
Primary practice location
1250 Silver St
Middletown, CT 06457-3946
Mailing address
400 Burr St Unit 8
New Haven, CT 06512-3669
Phone (413) 537-5731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rushford Center, Inc. | Psychiatry | Current | Accepting new patients |
Locations
883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220
1250 Silver St
Middletown, CT 06457
Phone (860) 346-0300
Interoperability endpoints
- emily.laurenzano@xdr.hhchealthdirect.org
- elaurenzano@xdr.hhchealthdirect.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1063755296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 BURR ST UNIT 8",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065123669",
"telephone_number": "413-537-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SILVER ST",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064573946",
"telephone_number": "877-577-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENZANO",
"first_name": "EMILY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-06",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "270307",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "70311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.