Active NPI
Carol J Pisani, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Trumbull, CT
National Provider Identifier
1386953339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 004491
- Practice address
- 935 White Plains Rd
Suite 204
Trumbull, CT 06611-1742 - Phone
- (203) 522-6088
- NPI assigned
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 004491 | CT | Primary |
Addresses
Primary practice location
935 White Plains Rd
Suite 204
Trumbull, CT 06611-1742
Mailing address
935 White Plains Rd
Suite 204
Trumbull, CT 06611-4547
Phone (203) 522-6088
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: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Nov 10, 2019 through Nov 10, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004491 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1386953339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "935 WHITE PLAINS RD",
"address_2": "SUITE 204",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066114547",
"telephone_number": "203-522-6088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 WHITE PLAINS RD",
"address_2": "SUITE 204",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066111742",
"telephone_number": "203-522-6088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANI",
"first_name": "CAROL",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "004491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.