CT Pain Addiction & Psychiatric Services, Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CT PAIN ADDICTION & PSYCHIATRIC SERVICES, INC

Practice address

420 East Main St Building 3
Suite 13
Branford, CT 06405

Phone

(203) 562-2101

NPI assigned

Jul 28, 2021

Organization subpart

No

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

Authorized official

Name

Dayna L Girodano, APRN

Title

Owner

Phone

(203) 562-2101

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1457024259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 EAST MAIN ST BUILDING 3",
            "address_2": "SUITE 13",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "06405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 EAST MAIN ST BUILDING 3",
            "address_2": "SUITE 13",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "06405",
            "telephone_number": "203-562-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT PAIN ADDICTION & PSYCHIATRIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "GIRODANO",
        "authorized_official_first_name": "DAYNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-562-2101",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Creative Alternatives
• Zina I Crescenzi, APRN
• Clare Criscuolo, LPC
• CSC Enterprises, Inc.
• CT Mobile Diagnostic Services
• CT. Mobile Diagnostic Services
• Michelle L Cubanski, L.C.S.W.
• Brenda Marsha Cullom, LCSW
• Erin Cushing
• Rachel Cushion, LCSW

• Family Nurse Practitioner in Branford, CT
• Providers in Branford, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.