Individual provider Active NPI

Giancarlo Antonio Cefalu Jr., PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bristol, CT
National Provider Identifier
1497519839
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14386 Issued in CT
Practice address
1 Hope St
Bristol, CT 06010-6374
Phone
(888) 793-3500
Fax
(860) 584-6568
NPI assigned
Feb 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14386 CT Primary

Addresses

Primary practice location

1 Hope St
Bristol, CT 06010-6374

Mailing address

1 Hope St
Bristol, CT 06010-6374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324001537 CT Practitioner - Nurse Practitioner 3678095205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wheeler Clinic IncGroup PAC ID 0345147153, 105 clinicians

Practice addresses (Care Compare)

43 Woodland St
Hartford, CT 06105-2363
Phone (860) 793-3500

91 Northwest Dr
Plainville, CT 06062-1534
Phone (860) 793-3500

Hospital & facility affiliations

  • Bristol Hospital Hospital, Bristol, CT, CCN 070029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wheeler Clinic Inc CurrentSince Mar 10, 2025 Accepting new patients
Wheeler Clinic Inc CurrentSince Mar 10, 2025 Accepting new patients

Locations

1 Hope St
Bristol, CT 06010
Phone (860) 398-7467

91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871

Interoperability endpoints

  • Direct secure messaging: giancarlo.cefalujr.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1497519839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOPE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOPE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106374",
            "telephone_number": "888-793-3500",
            "fax_number": "860-584-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEFALU",
        "first_name": "GIANCARLO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

Verify at the official NPI Registry.