David Borzellino, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000771 Issued in CT

Practice address

416 Highland Ave BLDG Bofficea
Cheshire, CT 06410-2527

Phone

(203) 232-0955

Fax

(860) 225-4642

NPI assigned

Aug 22, 2006

Last updated

Nov 28, 2017By 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

Enrolled in CT

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pieces That Fit

  • Marriage & Family Therapist
  • Cheshire, CT
  • NPI 1225612773
  Medicare reassignment NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1336255454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 HIGHLAND AVE BLDG BOFFICEA",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102527",
            "telephone_number": "203-232-0955",
            "fax_number": "860-225-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 HIGHLAND AVE BLDG BOFFICEA",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064102527",
            "telephone_number": "203-232-0955",
            "fax_number": "860-225-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORZELLINO",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "000771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFT",
            "identifier": "000771",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Boiano, D.C.
• Debra Carlson Bond, APRN
• Taylor Borla
• Jill Violet Borowski
• Stephanie Hamed Borowy, MS, CAGS
• Debra Ann Borzellino
• Francoise Marie Boubert, M.D.
• Marissa Bowen, PT
• Bowers Health Care Facilities Inc (Marbridge Retirement Center)
• Michele M. Boyer, M.S.,CCC-SLP

• Marriage & Family Therapist in Cheshire, CT
• Providers in Cheshire, 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 28, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.