NPIMap

Organization Active NPI

Melina Infantino Psychotherapy, LLC

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1912413337
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
007678 Issued in CT
Legal business name
MELINA INFANTINO PSYCHOTHERAPY, LLC
Practice address
904 State St
New Haven, CT 06511-3921
Phone
(203) 676-1104
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Melina Grisel InfantinoNPI 1295133411
Title
LCSW/Owner
Phone
(203) 676-1104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 007678 CT Primary

Addresses

Primary practice location

904 State St
New Haven, CT 06511-3921

Mailing address

327 Radmere Rd
Cheshire, CT 06410-3213

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1912413337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 RADMERE RD",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 STATE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113921",
            "telephone_number": "203-676-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELINA INFANTINO PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "INFANTINO",
        "authorized_official_first_name": "MELINA",
        "authorized_official_middle_name": "GRISEL",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "203-676-1104"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007678",
            "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 Dec 21, 2017; 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.