Individual provider Active NPI

Carlee Clarino

  • Adult Health Nurse Practitioner
  • Hamden, CT
National Provider Identifier
1629744586
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
9907 Issued in CT
Practice address
1952 Whitney Ave Ste 8
Hamden, CT 06517-1209
Phone
(203) 848-1803
NPI assigned
Aug 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 9907 CT Primary

Addresses

Primary practice location

1952 Whitney Ave Ste 8
Hamden, CT 06517-1209

Mailing address

985 Quinnipiac Ave
New Haven, CT 06513-2307
Phone (203) 868-6597

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
I20211021001150 CT Practitioner - Nurse Practitioner 7719375971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Connecticut School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Margaret Chustecka Internal Medicine of Greater New HavenGroup PAC ID 3274557152, 30 clinicians

Practice addresses (Care Compare)

1952 Whitney Ave
Hamden, CT 06517-1209
Phone (203) 848-1803

Hospital & facility affiliations

  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Chustecka Internal Medicine of Greater New Haven Internal Medicine CurrentSince Sep 15, 2021 Accepting new patients

Locations

1952 Whitney Ave
Ste 3
New Haven, CT 06517
Phone (203) 288-0129

1952 Whitney Ave
New Haven, CT 06517
Phone (203) 553-7626

385 Main St
West Haven, CT 06516
Phone (203) 848-6710

Organizations & group practices 1

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 2

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": "1629417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1629744586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 QUINNIPIAC AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065132307",
            "telephone_number": "203-868-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 WHITNEY AVE STE 8",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171209",
            "telephone_number": "203-848-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARINO",
        "first_name": "CARLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "9907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.