Pediatric and Adolescent Medicine of Cheshire, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC AND ADOLESCENT MEDICINE OF CHESHIRE, LLC

Doing business as

Pediatric and Adolescent Medicine of Cheshire, LLC

Practice address

677 S Main St Ste 4
Cheshire, CT 06410-3161

Phone

(203) 272-2382

Fax

(203) 272-0071

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Jeannette Chinchilla, MDNPI 1063448181

Title

Owner

Phone

(203) 272-2382

Specialties & licenses 1

Addresses

Other names 1

• PEDIATRIC AND ADOLESCENT MEDICINE OF CHESHIRE, LLC Doing business as

Locations

Practitioners 1

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

• Jeannette Chinchilla, M.D.

  • Pediatrics Physician
  • Cheshire, CT
  • NPI 1063448181
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1083490981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST STE 4",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103161",
            "telephone_number": "203-272-2382",
            "fax_number": "203-272-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 S MAIN ST STE 4",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103161",
            "telephone_number": "203-272-2382",
            "fax_number": "203-272-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND ADOLESCENT MEDICINE OF CHESHIRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "CHINCHILLA",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-272-2382",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDIATRIC AND ADOLESCENT MEDICINE OF CHESHIRE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michele Patrick, BCBA
• Lynn Paulella Beard, LMSW
• John L. Payne, PT
• Jodi Lynn Peck, LCSW
• Kirsten Magda Pedersen, PA-C
• Pediatric Associates of Cheshire PC
• Jonathan Joseph Pedro, PH.D.
• Beatrice Khatti Peku, DNP, APRN
• Arnold Pellegrini
• Heather Lee Peracchio, M.S., R.D., CD-N

• Pediatrics Physician in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.