Active NPI
Gail Marie Sicilia, APRN
- Clinical Nurse Specialist
- New Haven, CT
National Provider Identifier
1861546103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 001055 APRN
- Practice address
- 34 Park St
Connecticut Mental Health Center
New Haven, CT 06519 - Phone
- (203) 974-7417
- Fax
- (203) 974-7413
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 001055 APRN | CT | Primary |
Addresses
Primary practice location
34 Park St
Connecticut Mental Health Center
New Haven, CT 06519
Mailing address
34 Park St
Connecticut Mental Health Center Office of Care Managem
New Haven, CT 06519-1109
Phone (203) 974-7417
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001055 APRN | CT | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861546103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 PARK ST",
"address_2": "CONNECTICUT MENTAL HEALTH CENTER OFFICE OF CARE MANAGEM",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191109",
"telephone_number": "203-974-7417",
"fax_number": "203-974-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 PARK ST",
"address_2": "CONNECTICUT MENTAL HEALTH CENTER",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06519",
"telephone_number": "203-974-7417",
"fax_number": "203-974-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICILIA",
"first_name": "GAIL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CT",
"license": "001055 APRN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.