Perry A Staltaro, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2734 Issued in CT

Practice address

2 Church St
Rocky Hill, CT 06067-1518

Phone

(860) 502-4908

Fax

(860) 513-4828

NPI assigned

Sep 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Staltaro Psychological Services LLC

  • Clinical Psychologist
  • Rocky Hill, CT
  • NPI 1841522216

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719705600000",
    "number": "1811982655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671518",
            "telephone_number": "860-502-4908",
            "fax_number": "860-502-4908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHURCH ST",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060671518",
            "telephone_number": "860-502-4908",
            "fax_number": "860-513-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALTARO",
        "first_name": "PERRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "2734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somatic Grove Wellness PLLC
• Elena Somers
• Spoken Balance Wellness
• Amy Elizabeth Stahl, APRN
• Staltaro Psychological Services LLC
• Shirley Oribio Staltaro, PSY.D.
• Anne Hughes Stamatakis, LMT, CHTP
• Starling Physicians, PLLC
• State of Connecticut (Department of Veterans' Affairs, Veterans Home)
• Stefani Catenzaro, Aprn PLLC

• Clinical Psychologist in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.