Individual provider Active NPI

Marlene Marie Dolat, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Willimantic, CT
National Provider Identifier
1255600326
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4812 Issued in CT
Practice address
289 Windham Rd
Willimantic, CT 06226-3528
Phone
(860) 465-2650
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
No

Organizations & group practices 15

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

146 Hayden Hill Rd
Torrington, CT 06790-2308

35 Thorpe Ave
Suite 104
Wallingford, CT 06492-1943

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, ME, GA, FL, IN, VA, KY, OH, MA9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 9

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20121219000168 CT Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 5 organizations
I20260225002750 ME Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 1 organization
I20260305002903 GA Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 1 organization
I20260310001242 FL Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 1 organization
I20260317001736 IN Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 1 organization
I20260317004657 VA Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 1 organization
I20260318001674 KY Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 1 organization
I20260408000631 OH Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 1 organization
I20260410002427 MA Practitioner - Nurse Practitioner 2264684349 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004812CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aware Recovery Care of Kentucky LLC CurrentSince Feb 1, 2026 Accepting new patients
Aware Recovery Care of Florida LLC CurrentSince Jan 19, 2026 Accepting new patients
United Services Inc CurrentSince Feb 1, 2021 Accepting new patients
Aware Recovery Care of Maine LLC CurrentSince Feb 1, 2026 Accepting new patients
Aware Recovery Care of Indiana, LLC CurrentSince Feb 1, 2026 Accepting new patients
Aware Recovery Care of Virginia, PC Psychiatric/Mental Health CurrentSince Feb 1, 2026 Accepting new patients
Aware Recovery Care of Georgia LLC CurrentSince Feb 1, 2026 Accepting new patients
Rushford Center, Inc. CurrentSince Oct 11, 2023 Accepting new patients
Ravenswood Psychiatric Services, P.L.L.C. Psychiatric/Mental Health Current Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients

Locations

140 N Frontage Rd
Mansfield Ctr, CT 06250
Phone (860) 456-2261

883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220

35 Thorpe Ave
Ste 104
Wallingford, CT 06492
Phone (203) 490-4266

1775 The Exchange SE
Ste 610
Atlanta, GA 30339
Phone (770) 526-0535

6505 E 82nd St
Ste 120
Indianapolis, IN 46250
Phone (317) 779-0310

7400 New La Grange Rd
Ste 250
Louisville, KY 40222
Phone (502) 907-2290

500 Southborough Dr
Ste 205
South Portland, ME 04106
Phone (207) 813-4167

4405 Cox Rd
Ste 150
Glen Allen, VA 23060
Phone (804) 208-0475

Interoperability endpoints

  • Direct secure messaging: marlene.dolat.p1@direct.wheelerclinic.nextgenshare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 004812 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4812 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

289 Windham Rd
Willimantic, CT 06226-3528

Mailing address

289 Windham Rd
Willimantic, CT 06226-3528
Phone (860) 465-2650

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 3, 2023.

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1255600326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 WINDHAM RD",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062263528",
            "telephone_number": "860-465-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 WINDHAM RD",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062263528",
            "telephone_number": "860-465-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAT",
        "first_name": "MARLENE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "004812",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "4812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

Verify at the official NPI Registry.