Michael J. Pisco, M.A., L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001481 Issued in CT

Practice address

55 Walls Drive
Ste 206
Fairfield, CT 06824-5163

Phone

(203) 689-8989

NPI assigned

Feb 27, 2013

Last updated

Nov 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Emh Family Services PC

  dba Ellie Mental Health

  • Marriage & Family Therapist
  • Fairfield, CT
  • NPI 1619611464
  Authorized official Same address or phone
• Recovery Network of Programs, Inc.

  • Community/Behavioral Health Agency
  • Stratford, CT
  • NPI 1063633774
  NPD (past)
• Recovery Network of Programs, Inc.

  • Methadone Clinic
  • Bridgeport, CT
  • NPI 1871714501
  NPD (past)

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1275873390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WALLS DRIVE",
            "address_2": "STE 206",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-689-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WALLS DRIVE",
            "address_2": "STE 206",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245163",
            "telephone_number": "203-689-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISCO",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "M.A., L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-27",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "001481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARITAL AND FAMILY THERAPIST (L.M.F.T.)",
            "identifier": "001481",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Pinto, MD
• Pioli Psychological Services (John J Pioli PhD and or Liane M Pioli PhD)
• John Joseph Pioli, PHD
• Gerarda Pires, APRN
• Laura Marie Pisano, MMFT, LMFT
• Terri Anne Pisseri, A.P.R.N.
• Assata Pitts
• Plastic Surgery Center of Fairfield, LLC
• Play With Speech LLC
• Jennifer Rachel Pleasure, PSY.D.

• Marriage & Family Therapist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.