Adriano Marcoccia, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003938 Issued in CT

Practice address

200 State St
North Haven, CT 06473-2207

Phone

(203) 654-9589

NPI assigned

Jan 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• New Solutions Pain Management Clinic LLC

  • Nurse Practitioner
  • Orange, CT
  • NPI 1962806679
  NPD (past)

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1871030924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 LEXINGTON GDNS",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733473",
            "telephone_number": "203-520-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-654-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOCCIA",
        "first_name": "ADRIANO",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-27",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003120",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Nikhil Malhotra
• John Maltagliati, PHARMACY TECHNICIAN
• Alexander Charles Manning, PA-C
• Michele Manny, LMSW
• Marc W Platt DC Dba/ Community Chiropractic Center
• Elisa Marinella
• Bianca Maribel Marmolejos
• Elise Maro, PA-C
• James S Marsh, MD
• Anna C Martin, MSW LCSW

• Clinical Psychologist in North Haven, CT
• Providers in North Haven, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.