Internacional Clinical Services & Behavior Health Specialist

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INTERNACIONAL CLINICAL SERVICES & BEHAVIOR HEALTH SPECIALIST

Practice address

6 Iannotti LN
Derby, CT 06418-2215

Phone

(203) 361-9099

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Ariadna PatinoNPI 1699433086

Title

Ceo

Phone

(203) 361-9099

Specialties & licenses 6

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ariadna Patino

  • Student in an Organized Health Care Education/Training Program
  • Waterbury, CT
  • NPI 1699433086
  NPD Authorized official

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700956800000",
    "number": "1083488738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 IANNOTTI LN",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182215",
            "telephone_number": "203-361-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 IANNOTTI LN",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182215",
            "telephone_number": "203-361-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNACIONAL CLINICAL SERVICES & BEHAVIOR HEALTH SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-26",
        "certification_date": "2023-11-26",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "ARIADNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-361-9099"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Lizbeth Huertas
• Robert Nelson Hyde III, MD
• Rhianon Noel Iassogna-Roman, APRN, RN
• In-Home Angels Adult Day LLC
• Peter J. Integlia, CRNA
• Internal Medicine & Pediatrics LLC
• Ashley J Jackson, LCSW
• Don-Andre Jackson
• Megan Elizabeth Jackson, LMSW
• Jacquelyn Carrano, LCSW LLC

• Home Health Agency in Derby, CT
• Providers in Derby, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2023; 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.