Individual provider Active NPI

Donna Helene Dicello, PSY.D.

  • Clinical Psychologist
  • New Haven, CT
National Provider Identifier
1316064611
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
002291 Issued in CT
Practice address
37 Trumbull St
Suite 104
New Haven, CT 06510-1005
Phone
(203) 773-3560
NPI assigned
Mar 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 002291 CT Primary

Addresses

Primary practice location

37 Trumbull St
Suite 104
New Haven, CT 06510-1005

Mailing address

37 Trumbull St
Suite 104
New Haven, CT 06510-1005
Phone (203) 773-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 6, 2016 through Nov 6, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
002291CTMDInternist Chiropractor

Interoperability endpoints

  • Direct secure messaging: donna.dicello@ctproviderdirect.org

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316064611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 TRUMBULL ST",
            "address_2": "SUITE 104",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101005",
            "telephone_number": "203-773-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 TRUMBULL ST",
            "address_2": "SUITE 104",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101005",
            "telephone_number": "203-773-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICELLO",
        "first_name": "DONNA",
        "middle_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "002291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.