Patricia Pellino, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

002450 Issued in CT

Practice address

152 West St
Danbury, CT 06810-6361

Phone

(203) 791-5180

NPI assigned

Jul 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Putnam Family and Community Services Inc

  • Mental Health Counselor
  • Carmel, NY
  • NPI 1497737167
  NPD (past)
• Putnam Family and Community Services Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912923111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 WEST ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106361",
            "telephone_number": "203-791-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 WEST ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068106361",
            "telephone_number": "203-791-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLINO",
        "first_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates of Western CT
• Pediatric Speech Language and Literacy Services, LLC
• Pediatric Speech-Language and Literacy Services, LLC
• Melisa Pelikan, R.N.
• Donna Marie Pellerin, M.D.
• Lindsay Sarah Penev, LMSW
• Dixianne Penny, P.H.D
• Elizabeth M Peralta, LCSW
• Mahamalage Marian Shivani Perera
• Tarique Perera, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Danbury, CT
• Providers in Danbury, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.