Gregg Nodelman, LADC, LMFT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000973 Issued in CT

Practice address

184 Front Ave
West Haven, CT 06516-2836

Phone

(203) 781-4600

NPI assigned

Dec 13, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1649548082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR",
            "address_2": "STE321",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115991",
            "telephone_number": "203-781-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 FRONT AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162836",
            "telephone_number": "203-781-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODELMAN",
        "first_name": "GREGG",
        "credential": "LADC, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008038052",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Thuy Nguyen, NP
• Maria Niculete, PHD
• Kristina Niehoff, PHARMD
• Timothy John Nikopoulos, MSN, PMHNP-BC
• Victoria Nitcher-Sherman, LMFT
• Ivette Yolanda Nolasco, DDS
• Noon'S Limo LLC
• Michael A Norman, D.M.D.
• Arielle Norton, PHARMD
• Marissa Noto, APRN

• Addiction (Substance Use Disorder) Counselor in West Haven, CT
• Providers in West Haven, 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 7, 2017; 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.