Individual provider Active NPI

Linda Preato, MSW, MBA

  • Behavior Analyst
  • Niantic, CT
National Provider Identifier
1902219207
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
004945 Issued in CT
Practice address
148 Roxbury Rd
Niantic, CT 06357-1111
Phone
(860) 798-4847
NPI assigned
Jun 4, 2014
Last updated
Jun 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 004945 CT Primary

Addresses

Primary practice location

148 Roxbury Rd
Niantic, CT 06357-1111

Mailing address

148 Roxbury Rd
Niantic, CT 06357-1111
Phone (860) 798-4847

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160308001776 CT Practitioner - Clinical Social Worker 3678879277 Practice locations: Niantic, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
004945CTMDBehavioral Analyst
4945CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lita Community Center LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1902219207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 ROXBURY RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571111",
            "telephone_number": "860-798-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 ROXBURY RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571111",
            "telephone_number": "860-798-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREATO",
        "first_name": "LINDA",
        "credential": "MSW, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "004945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niantic, CT

Sources for this page

Verify at the official NPI Registry.