Active NPI
Daniel Modlinger
- Psychiatric/Mental Health Nurse Practitioner
- Westport, CT
National Provider Identifier
1740905124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 12300
- Practice address
- 489 Post Rd E FL 2
Westport, CT 06880-4435 - Phone
- (203) 429-4190
- NPI assigned
- Oct 7, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | 20186 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12300 | CT | Primary |
Addresses
Primary practice location
489 Post Rd E FL 2
Westport, CT 06880-4435
Mailing address
489 Post Rd E FL 2
Westport, CT 06880-4435
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 |
|---|---|---|---|
| 20186 | CT | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1740905124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 POST RD E FL 2",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 POST RD E FL 2",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068804435",
"telephone_number": "203-429-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODLINGER",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-07",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "CT",
"license": "20186",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "12300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.