Individual provider Active NPI

Donn Charles Sottolano, PH.D., BCBA-D

  • Behavior Analyst
  • Northford, CT
National Provider Identifier
1245537141
Registry record updated Feb 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1095081 Issued in CT
Practice address
26 Old Post Rd
Northford, CT 06472-1034
Phone
(203) 484-9501
Fax
(203) 484-9585
NPI assigned
Feb 12, 2011
Last updated
Feb 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1095081 CT Primary

Addresses

Primary practice location

26 Old Post Rd
Northford, CT 06472-1034

Mailing address

350 State St
North Haven, CT 06473-3108
Phone (203) 498-6800

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 Philosophy

State licenses

LicenseStateTypeSpecialty
1095081CTMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Area Cooperative Educational Services Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297468800000",
    "number": "1245537141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733108",
            "telephone_number": "203-498-6800",
            "fax_number": "203-498-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 OLD POST RD",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "064721034",
            "telephone_number": "203-484-9501",
            "fax_number": "203-484-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTOLANO",
        "first_name": "DONN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-12",
        "last_updated": "2011-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1095081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2011; 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.