Mark A Nadolski

Primary specialty

PsychologistTaxonomy code 103T00000X

License

003588 Issued in CT

Practice address

7 Wall St
Madison, CT 06443

Phone

(203) 245-0412

NPI assigned

Aug 25, 2010

Last updated

Dec 9, 2021By the provider in NPPES

Sex

Male

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

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waterstone Counseling Center LLCGroup PAC ID 0749681070, 10 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Waterstone Counseling Center, LLC

  • Family Medicine Physician
  • Madison, CT
  • NPI 1851767933
  Medicare reassignment Care Compare group NPD
• Waterstone Health LLC

  • Family Medicine Physician
  • Madison, CT
  • NPI 1700600053
  Medicare reassignment NPD
• Legal Social Work Consultants LLC

  • Clinical Social Worker
  • Branford, CT
  • NPI 1699281691
  NPD

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1851607030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BRADLEY RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432644",
            "telephone_number": "203-245-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WALL ST",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "06443",
            "telephone_number": "203-245-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADOLSKI",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "003588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarod David Morrison, DC
• Jeremy Ethan Moss, M.D., PH.D.
• Javier Motta, PA
• John Andrew Murphy, LCSW,LADC
• Myeyedr Optometry of Connecticut, LLC (MyEyeDr.)
• Terese M Naser, D.C.
• Kimberly Nelson, LCSW
• Jocelyn Ness, LCSW
• New England Sleep Therapy, LLC
• New Horizons Psychological Services LLC

• Psychologist in Madison, CT
• Providers in Madison, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.