Active NPI
Judith Palazzo
- Behavior Analyst
- Orange, CT
National Provider Identifier
1689133282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 96
- Practice address
- 339 Boston Post Rd
Orange, CT 06477-3560 - Phone
- (203) 799-4110
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 000683-1 | NY | |
| Behavior Analyst | 103K00000X | 96 | CT | Primary |
Addresses
Primary practice location
339 Boston Post Rd
Orange, CT 06477-3560
Mailing address
95 Wolf Harbor Rd
Milford, CT 06461-1938
Phone (203) 882-8810
Other practice location 1
95 Wolf Harbor Rd
Milford, CT 06461-1938
Phone (203) 882-8810 ext. 312
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jpalazzo@mbs-inc.org | Direct | Milestones Behavioral Services, Inc. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000683-1 | NY | MD | Behavioral Analyst |
| 96 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Connecticut Center for Child Develpment | Past | Accepting new patients | |
| Milestones Behavioral Services, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Intellectual & Developmental Disabilities Psychologist
- Milford, CT
- NPI 1548437387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1689133282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 WOLF HARBOR RD",
"city": "MILFORD",
"state": "CT",
"postal_code": "064611938",
"telephone_number": "203-882-8810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 BOSTON POST RD",
"city": "ORANGE",
"state": "CT",
"postal_code": "064773560",
"telephone_number": "203-799-4110"
}
],
"practiceLocations": [
{
"address_1": "95 Wolf Harbor Rd",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "CT",
"postal_code": "064611938",
"country_code": "US",
"telephone_number": "203-882-8810 x312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALAZZO",
"first_name": "JUDITH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "000683-1",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "96",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jpalazzo@mbs-inc.org",
"affiliation": "Y",
"endpointDescription": "Company email",
"affiliationName": "Milestones Behavioral Services, Inc.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "339 Boston Post Rd",
"city": "Orange",
"state": "CT",
"country_code": "US",
"postal_code": "064773560",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.