Patricia A Mastriano

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-17730 Issued in CT

Practice address

15 Delwood Ave
Clinton, CT 06413-1433

Phone

(203) 640-9693

NPI assigned

Mar 14, 2018

Last updated

Mar 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Familywise, LLC

  dba FamilyWise Behavior Solutions

  • Community/Behavioral Health Agency
  • Mystic, CT
  • NPI 1659826048
  NPD (past)

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1174026272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 52ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112041731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 DELWOOD AVE",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131433",
            "telephone_number": "203-640-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTRIANO",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1-14-17730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiara Marie Marmolejos, PA-C
• Marrakech, Inc
• Nancylynn Maselli, LADC
• Massageworks
• Melanie Masse, PHARM.D.
• Sarah Maxwell, LMT
• Megan Ann McAllister, APRN
• Carissa McComiskey, OT
• Timothy Earle McDevitt, RPH
• Meditox Care, LLC

• Behavior Analyst in Clinton, CT
• Providers in Clinton, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.