Donald S. Bialos, M.D.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

013127 Issued in CT

Legal business name

DONALD S. BIALOS, M.D.

Practice address

4 Samson Rock Dr
Madison, CT 06443-3005

Phone

(203) 245-7721

NPI assigned

Nov 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Donald S. Bialos, M.D.

Title

President

Phone

(203) 245-7721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1154500692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MEIGS AV",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064431920",
            "telephone_number": "203-245-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SAMSON ROCK DR",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064433005",
            "telephone_number": "203-245-7721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD S. BIALOS, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "BIALOS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-245-7721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "013127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Devon Anne Dopfel, LMT
• Peter Edward Doria, LCSW
• Brittany Dorman, LCSW
• Kelsey Doyle

• Adult Mental Health Clinic/Center in Madison, CT
• Providers in Madison, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.