Staltaro Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

STALTARO PSYCHOLOGICAL SERVICES LLC

Practice address

2 Church St
Rocky Hill, CT 06067-1518

Phone

(860) 502-4908

Fax

(860) 513-4828

NPI assigned

Feb 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Perry A Staltaro, PSYDNPI 1811982655

Title

President

Phone

(860) 502-4908

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Perry A Staltaro, PSYD

  • Clinical Psychologist
  • Rocky Hill, CT
  • NPI 1811982655

  Clinical Neuropsychologist

  Medicare reassignment NPD Authorized official
• Tracie Lynn Preli-Derwin

  • Clinical Social Worker
  • East Hartford, CT
  • NPI 1497014344
  Medicare reassignment NPD
• Shirley Oribio Staltaro, PSY.D.

  • Clinical Psychologist
  • Rocky Hill, CT
  • NPI 1275656266
  Medicare reassignment NPD

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719705600000",
    "number": "1841522216",
    "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": "860-513-4828"
        },
        {
            "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": {
        "organization_name": "STALTARO PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2024-06-30",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "STALTARO",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-502-4908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ellen Sokolik, OTRL
• Somatic Grove Wellness PLLC
• Elena Somers
• Spoken Balance Wellness
• Amy Elizabeth Stahl, APRN
• Perry A Staltaro, PSYD
• Shirley Oribio Staltaro, PSY.D.
• Anne Hughes Stamatakis, LMT, CHTP
• Starling Physicians, PLLC
• State of Connecticut

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.