Patunia Medy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12167 Issued in CT

Practice address

Belmont 670 Mix Avenue Apt 2a
Hamden, CT 06514

Phone

(203) 583-2569

NPI assigned

May 5, 2022

Last updated

May 5, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1831834647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BELMONT 670 MIX AVENUE APT 2A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-583-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELMONT 670 MIX AVENUE APT 2A",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-583-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDY",
        "first_name": "PATUNIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "12167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann-Marie Semone Meacham, LCSW
• Jennifer Mead, ATC
• Medical Center Pharmacy and Home Care Center, Inc
• Medical Oncology & Hematology PC (Diagnostic Hematolgoy Lab)
• Medication Management Solutions, LLC
• Tariq Mehmood
• Sonia Mehta, M.S.
• Abeeda Mehwash, OD
• Tina Marie Mein, LMFT
• Rebecca Ann Mella, MA.ATC,LAT

• Clinical Social Worker in Hamden, CT
• Providers in Hamden, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.