Justine Dimaria

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1528 Issued in CT

Practice address

177 W Putnam Ave
Greenwich, CT 06830-5203

Phone

(203) 559-5970

NPI assigned

Feb 13, 2024

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

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.

• Prosperity Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • New Haven, CT
  • NPI 1700417441
  Medicare reassignment NPD

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1457115040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DOBEK TER",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064182034",
            "telephone_number": "194-984-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W PUTNAM AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305203",
            "telephone_number": "203-559-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Dobek Ter",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "CT",
            "postal_code": "064182034",
            "country_code": "US",
            "telephone_number": "194-984-2747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1423 Chapel St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065114411",
            "country_code": "US",
            "telephone_number": "203-717-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIMARIA",
        "first_name": "JUSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "1528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric J Diamond, M.D.
• Mary G Diana, MD
• Jesus Andres Diaz la Torre, APRN
• Kendall Dicairano
• Mitchell Dickey, PH.D.
• Jessie Dimuzio, LCSW
• Discovery Practice Management, Inc (Center For Discovery, Greenwich)
• Alyssa Dolan, PA-C
• Ariana Dominicus, PA-C
• Gabrielle Rose Donato

• Addiction (Substance Use Disorder) Counselor in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.