Bonnie M Piascyk, APRN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

000805 Issued in CT

Practice address

67 Masonic Ave
1St Floor
Wallingford, CT 06492-3095

Phone

(203) 265-5720

Fax

(203) 679-5623

NPI assigned

Dec 16, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Masonicare Primary Care Physicians

  • Geriatric Medicine (Internal Medicine) Physician
  • Wallingford, CT
  • NPI 1922084540
  NPD (past)
• The Center for Geriatric and Family Psychiatry, Inc.

  • Mental Health Counselor
  • Glastonbury, CT
  • NPI 1831134766
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262217600000",
    "number": "1669458139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "address_2": "1ST FLOOR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-265-5720",
            "fax_number": "203-679-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 MASONIC AVE",
            "address_2": "1ST FLOOR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064923095",
            "telephone_number": "203-265-5720",
            "fax_number": "203-679-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIASCYK",
        "first_name": "BONNIE",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2009-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "000805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004204210",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmacy Corporation of America
• Pharmacy Corporation of America
• Nicole Phillips
• Phoenix Therapy Services, LLC
• Lisa Phung, SLP
• Francisco John Pimentel, O.D.
• Emily Pindar, ATC
• Celina Michelle Pizarro
• Rachel Plant, SLP
• Theresa Plant

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Wallingford, CT
• Providers in Wallingford, CT by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.