Active NPI
John V. Debisceglie, NP
- Psychiatric/Mental Health Nurse Practitioner
- Danbury, CT
National Provider Identifier
1912285396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- CNP111040
- Practice address
- 75 West St
Danbury, CT 06810-6528 - Phone
- (203) 748-5689
- Fax
- (203) 205-2757
- NPI assigned
- Aug 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | CNP111040 | ME | Primary |
| Registered Nurse | 163W00000X | RN57012 | ME |
Addresses
Primary practice location
75 West St
Danbury, CT 06810-6528
Mailing address
75 West St
Danbury, CT 06810-6528
Phone (203) 748-5689
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16 Hillside Ave
Naugatuck, CT 06770-4019
Phone (203) 729-0341
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN57012 | ME | MD | Registered Nurse |
| CNP111040 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain View Psychiatry, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Stokes Counseling Services LLC | Current | Accepting new patients | |
| Family and Children'S Aid, Inc. | Current | Accepting new patients | |
| Putnam Family and Community Services Inc | Past | Accepting new patients |
Locations
75 West St
Danbury, CT 06810
Phone (203) 748-5689
16 Hillside Ave
Naugatuck, CT 06770
Phone (203) 729-0341
90 Grove St
Ste 206
Ridgefield, CT 06877
Phone (203) 228-6259
Interoperability endpoints
- john.debisceglie@direct.fcaweb.org
Organizations & group practices 4
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.
-
- Professional Counselor
- Naugatuck, CT
- NPI 1134541469
-
- Psychiatric/Mental Health Nurse Practitioner
- Ridgefield, CT
- NPI 1639977846
-
- Adolescent and Children Mental Health Clinic/Center
- Danbury, CT
- NPI 1821059486
-
- Mental Illness Community Based Residential Treatment Facility
- Carmel, NY
- NPI 1972458545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1912285396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 WEST ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106528",
"telephone_number": "203-748-5689",
"fax_number": "203-205-2757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 WEST ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106528",
"telephone_number": "203-748-5689",
"fax_number": "203-205-2757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBISCEGLIE",
"first_name": "JOHN",
"middle_name": "V.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-02",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "CNP111040",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "ME",
"license": "RN57012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; 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.