Active NPI
Catherine Rodgers Spagnola, APRN,CS
- Psychiatric/Mental Health Nurse Practitioner
- Centerbrook, CT
National Provider Identifier
1083638829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 001198
- Practice address
- 40 Main St
Centerbrook, CT 06409-1071 - Phone
- (860) 767-3105
- Fax
- (860) 767-3218
- NPI assigned
- Jul 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 001198 | CT | Primary |
Addresses
Primary practice location
40 Main St
Centerbrook, CT 06409-1071
Mailing address
40 Main St
Centerbrook, CT 06409-1071
Phone (860) 767-3105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001198 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083638829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MAIN ST",
"city": "CENTERBROOK",
"state": "CT",
"postal_code": "064091071",
"telephone_number": "860-767-3105",
"fax_number": "860-767-3218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MAIN ST",
"city": "CENTERBROOK",
"state": "CT",
"postal_code": "064091071",
"telephone_number": "860-767-3105",
"fax_number": "860-767-3218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAGNOLA",
"first_name": "CATHERINE",
"middle_name": "RODGERS",
"name_prefix": "Ms.",
"credential": "APRN,CS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "001198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centerbrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.