Active NPI
Marlene Marie Dolat, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Willimantic, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4812
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayville, CT
- NPI 1063413011
CT
-
- Substance Abuse Rehabilitation Facility
- Delray Beach, FL
- NPI 1629540273
FL
-
- Substance Abuse Rehabilitation Facility
- Atlanta, GA
- NPI 1962103788
GA
-
- Substance Abuse Rehabilitation Facility
- Indianapolis, IN
- NPI 1235774365
IN
-
- Substance Abuse Rehabilitation Facility
- Louisville, KY
- NPI 1215655261
KY
-
- Substance Abuse Rehabilitation Facility
- South Portland, ME
- NPI 1326523366
ME
-
- Substance Abuse Rehabilitation Facility
- Glen Allen, VA
- NPI 1942964770
Psychiatric/Mental Health, VA
-
- Psychiatric/Mental Health Nurse Practitioner
- Storrs Mansfield, CT
- NPI 1801728415
Psychiatric/Mental Health
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Wallingford, CT
- NPI 1801241880
CT
-
- Substance Abuse Rehabilitation Facility
- Westborough, MA
- NPI 1700404464
MA
-
- Addiction Medicine (Internal Medicine) Physician
- Independence, OH
- NPI 1780330688
OH
-
- Specialist
- South Windsor, CT
- NPI 1497864516
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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Medicare enrollment records 9
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 004812 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aware Recovery Care of Kentucky LLC | Current | Accepting new patients | |
| Aware Recovery Care of Florida LLC | Current | Accepting new patients | |
| United Services Inc | Current | Accepting new patients | |
| Aware Recovery Care of Maine LLC | Current | Accepting new patients | |
| Aware Recovery Care of Indiana, LLC | Current | Accepting new patients | |
| Aware Recovery Care of Virginia, PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Aware Recovery Care of Georgia LLC | Current | Accepting new patients | |
| Rushford Center, Inc. | Current | 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
- marlene.dolat.p1@direct.wheelerclinic.nextgenshare.com
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 004812 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4812 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.