Active NPI
Michelle Lynn Zarucha Buscarello
- Addiction (Substance Use Disorder) Counselor
- Danbury, CT
National Provider Identifier
1235409905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000344
- Practice address
- 38 Old Ridgebury Rd
Danbury, CT 06810-5128 - Phone
- (203) 792-4515
- Fax
- (203) 778-3884
- NPI assigned
- Jan 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000344 | CT | Primary |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | SA-0125 | CT |
Addresses
Primary practice location
38 Old Ridgebury Rd
Danbury, CT 06810-5128
Mailing address
38 Old Ridgebury Rd
Danbury, CT 06810-5128
Phone (203) 792-4515
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004123840 | Medicaid | CT |
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 |
|---|---|---|---|
| SA-0125 | CT | MD | Mental Health Clinic/Center (Including Community Mental Health Center) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1235409905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 OLD RIDGEBURY RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105128",
"telephone_number": "203-792-4515",
"fax_number": "203-778-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 OLD RIDGEBURY RD",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105128",
"telephone_number": "203-792-4515",
"fax_number": "203-778-3884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARUCHA BUSCARELLO",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-11",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000344",
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "CT",
"license": "SA-0125",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004123840",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.