Active NPI
Mayra Maldonado
- Counselor
- New Haven, CT
National Provider Identifier
1396955332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 501 Lombard St
New Haven, CT 06513-2910 - Phone
- (203) 787-2207
- NPI assigned
- May 22, 2007
- Last updated
- Oct 30, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
501 Lombard St
New Haven, CT 06513-2910
Mailing address
477 Beaver St Apt G2
Ansonia, CT 06401-2053
Phone (203) 981-0627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235918 | Medicaid | CT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1396955332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 BEAVER ST APT G2",
"city": "ANSONIA",
"state": "CT",
"postal_code": "064012053",
"telephone_number": "203-981-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 LOMBARD ST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065132910",
"telephone_number": "203-787-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "MAYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004235918",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.