Caitlin Rose Nedelcu

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

018371777 Issued in CT

Practice address

17 Industrial Dr
Waterford, CT 06385-4010

Phone

(860) 333-5183

NPI assigned

Jan 20, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1588294409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 UPLANDS WAY",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333357",
            "telephone_number": "203-823-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 INDUSTRIAL DR",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063854010",
            "telephone_number": "860-333-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEDELCU",
        "first_name": "CAITLIN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "018371777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New London Cancer Center, P.C
• New London Cancer Center, P.C.
• James Newman
• Benjamin R Newton, M.D.

• Behavior Analyst in Waterford, CT
• Providers in Waterford, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.