Active NPI
David Louis Vitelli Jr.
- Behavior Analyst
- New Britain, CT
National Provider Identifier
1326775388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1152
- Practice address
- 125 Whiting St
New Britain, CT 06051-3184 - Phone
- (888) 754-0398
- NPI assigned
- Aug 1, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1152 | CT | Primary |
Addresses
Primary practice location
125 Whiting St
New Britain, CT 06051-3184
Mailing address
125 Whiting St
New Britain, CT 06051-3184
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1152 | Other | CT | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | inbloomautism.com | In Bloom Behavioral Health Care |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Behavioral Consultation | 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.
-
- Community/Behavioral Health Agency
- Vernon, CT
- NPI 1235685504
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1326775388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WHITING ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060513184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 WHITING ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060513184",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITELLI",
"first_name": "DAVID",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "1152",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "inbloomautism.com",
"affiliation": "Y",
"endpointDescription": "Business web address",
"affiliationName": "In Bloom Behavioral Health Care",
"address_1": "15 Terry Ct",
"address_2": "Suite D",
"city": "Staunton",
"state": "VA",
"country_code": "US",
"postal_code": "244012568",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Britain, CT
- January Violette, PTA
- Vision of Faith Outrreach Inc
- Visiting Nurse Association of Central Connecticut, Inc.
- Visiting Nurse Association of Central Connecticut, Inc.
- Lauramarie Vita, LPC
- Sara Viteri, M.D.
- Jonathan Austin Volpe
- John Votto, D.O.
- Danielle Nicole Waite, PA-C
- Laura Elisabeth Walberg, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.