Melissa Ann Tulisano, D.C.
Individual provider Active NPI Chiropractor · Wethersfield, CT
NPI 1699040261 · NPPES record last updated Jan 3, 2017
Key facts
- NPI
- 1699040261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 001907 (DC)
- Practice address
- 82-86 Wolcott Hill Rd
Suite 1
Wethersfield, CT 06109-1252 - Phone
- (860) 296-4446
- Fax
- (860) 296-0041
- NPI assigned
- Mar 15, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Carbone Chiropractic Center LLC
Practice addresses (Care Compare)
82 86 Wolcott Hill Rd
Wethersfield, CT 06109-1252
Phone (860) 296-4446
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130124000132 | CT | Practitioner - Chiropractic | 3870746951 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1907 | CT | MD | Behavioral Analyst |
| 001907 | DC | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001907 | DC | Yes |
Addresses
Primary practice location
82-86 Wolcott Hill Rd
Suite 1
Wethersfield, CT 06109-1252
Mailing address
50 8TH St
Newington, CT 06111-3316
Phone (860) 810-6440
Other providers in Wethersfield, CT
- Roger G. Troie
- Richard Truex
- Trueyou Clinical Services, LLC
- Bill Truong
- Truth, LLC
- Christie Ann Tuttle
- Adrianna Taylor Tyc
- Nisha Tyler
- Unlimited You, LLC
- Urgent Care of Wethersfield, LLC
All providers in Wethersfield, CT · Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.