Cynthia Petronio-Vazquez

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1898 Issued in CT

Practice address

791 S Main St
Plantsville, CT 06479-1519

Phone

(860) 378-8090

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Apple Valley Behavioral Health LLC

  • Professional Counselor
  • Plantsville, CT
  • NPI 1568843456
  NPD

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1649943119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 VALENTINE ST",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113844",
            "telephone_number": "860-372-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 S MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791519",
            "telephone_number": "860-378-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRONIO-VAZQUEZ",
        "first_name": "CYNTHIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alkesh V Patel, MD
• Chandni Patel
• Jeffrey Payne
• Yineth V Perez Moreno
• Perspectives Counseling Center, Inc.
• Aniello P Picone, D.M.D.
• Joseph Anthony Picone Sr., D.M.D.
• Andrea Pincus
• Plantsville Pharmacy Inc
• Plantsville Pharmacy Inc.

• Professional Counselor in Plantsville, CT
• Providers in Plantsville, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.