Laura Elizabeth Mainelli, AU.D., CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

000634 Issued in CT

Practice address

954 Main St
Branford, CT 06405-7727

Phone

(203) 481-0003

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Connecticut School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear, Nose and Throat Medical and Surgical Group, LLCGroup PAC ID 5698831212, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEBFCA

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.

• Ear Nose & Throat Medical and Surgical Group, LLC

  • Otolaryngology Physician
  • North Haven, CT
  • NPI 1790854651
  Medicare reassignment Care Compare group
• Ear Nose & Throat Medical and Surgical Group, LLC

  • Nurse Practitioner
  • New Haven, CT
  • NPI 1679835086
  NPD (past)

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1902320138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BROADWAY",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732304",
            "telephone_number": "860-402-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "954 MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064057727",
            "telephone_number": "203-481-0003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Broadway",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064732304",
            "country_code": "US",
            "telephone_number": "203-234-1324",
            "fax_number": "203-234-1611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46 Prince St",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191600",
            "country_code": "US",
            "telephone_number": "203-752-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAINELLI",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "AU.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "000634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT LICENSE",
            "identifier": "000634",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.entmedicalsurgical.com",
            "affiliation": "N",
            "address_1": "31 Broadway",
            "city": "North Haven",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064732304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darcy Ellen Macdonald
• Virginia Eileen Macdonald, MA LPC
• Laura Madden, MD
• Patricia Magida, MSW
• Sara F. Magistro, L.C.S.W.
• Ellen Majors, PAC
• Mallory Grimste LLC
• Linda A Mancini, LCSW
• Cecelia Hope Manley, MA, LPC
• William Lawrence Mannle, LMFT

• Audiologist-Hearing Aid Fitter in Branford, CT
• Providers in Branford, CT by specialty
• Audiologist-Hearing Aid Fitter in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.