Individual provider Active NPI

Joan Mary Landino, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wallingford, CT
National Provider Identifier
1154367308
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
003382 Issued in CT
Practice address
185 Center St
Wallingford, CT 06492-4100
Phone
(203) 676-3606
Fax
(203) 265-1037
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 003382 CT Primary

Addresses

Primary practice location

185 Center St
Wallingford, CT 06492-4100

Mailing address

100 Broadway
North Haven, CT 06473-2365
Phone (203) 676-3606

Other practice location 1

100 Broadway
North Haven, CT 06473-2365
Phone (203) 676-3606

Other practice location 2

186 Center St
Wallingford, CT 06492-4142
Phone (203) 676-3606

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003382CTMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1154367308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732365",
            "telephone_number": "203-676-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 CENTER ST",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064924100",
            "telephone_number": "203-676-3606",
            "fax_number": "203-265-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Broadway",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064732365",
            "country_code": "US",
            "telephone_number": "203-676-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 Center St",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064924142",
            "country_code": "US",
            "telephone_number": "203-676-3606",
            "fax_number": "203-265-1037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDINO",
        "first_name": "JOAN",
        "middle_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "003382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.