Active NPI
Kyle Dean Pruett, M.D.
- Counselor
- New Haven, CT
National Provider Identifier
1144428004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A15783
- Practice address
- 900 Chapel St
Suite 1212
New Haven, CT 06510-2802 - Phone
- (203) 777-0609
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A15783 | CT | Primary |
Addresses
Primary practice location
900 Chapel St
Suite 1212
New Haven, CT 06510-2802
Mailing address
40 Trumbull Rd
Northampton, MA 01060-3023
Phone (413) 584-5811
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A15783 | CT | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144428004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 TRUMBULL RD",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603023",
"telephone_number": "413-584-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CHAPEL ST",
"address_2": "SUITE 1212",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065102802",
"telephone_number": "203-777-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUETT",
"first_name": "KYLE",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "A15783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Haven, 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.