Daria S Kiernan, PMHNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

003151 Issued in CT

Practice address

8 Titus Rd
Connecticut Therapy Associates, LLC
Washington Depot, CT 06794-1517

Phone

(860) 868-0857

NPI assigned

Nov 20, 2007

Last updated

Mar 29, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Connecticut Therapy Associates, LLC

  • Mental Health Counselor
  • Washington Depot, CT
  • NPI 1093041220
  NPD (past)
• Medoptions Behavioral Health Assoc, LLC

  • Nurse Practitioner
  • Old Saybrook, CT
  • NPI 1588604060
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1841471638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BEAR RUN",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983334",
            "telephone_number": "203-263-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TITUS RD",
            "address_2": "CONNECTICUT THERAPY ASSOCIATES, LLC",
            "city": "WASHINGTON DEPOT",
            "state": "CT",
            "postal_code": "067941517",
            "telephone_number": "860-868-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIERNAN",
        "first_name": "DARIA",
        "middle_name": "S",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "003151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Ewing, MD
• Judith Gorra, MFT
• Allan Herbert Grunberg, M.D.
• Alistair Highet, M.A., L.P.
• Georgia G Hynes, CCDP,CCS,CAC,NCACII
• Katherine Louise Merrill, LCSW
• F. Brian Mucha, CAC
• Carol Ann Otoole, L.AC.
• Craig Gerald Schoon, PH.D.
• Jampa Mackenzie Stewart, LIC. AC.

• Nurse Practitioner in Washington Depot, CT
• Providers in Washington Depot, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.