Active NPI
John Joseph Pioli, PHD
- Psychologist
- Fairfield, CT
National Provider Identifier
1932285202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- CT1206
- Practice address
- 1495 Black Rock Tpke
Fairfield, CT 06825-4165 - Phone
- (203) 366-3570
- Fax
- (203) 459-1967
- NPI assigned
- Oct 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | CT1206 | CT | Primary |
Addresses
Primary practice location
1495 Black Rock Tpke
Fairfield, CT 06825-4165
Mailing address
1495 Black Rock Tpke
Fairfield, CT 06825-4165
Phone (203) 366-3570
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060001206CT01 | Other | ANTHEM | |
| 0007759 | Other | CHAMPUS | |
| 176787 | Other | MHN | |
| 121682 | Other | VALUE OPTIONS | |
| 4062334 | Medicaid | CT | |
| 4320150 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CT1206 | CT | MD | Psychologist |
| 001206 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932285202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254165",
"telephone_number": "203-366-3570",
"fax_number": "203-459-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068254165",
"telephone_number": "203-366-3570",
"fax_number": "203-459-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIOLI",
"first_name": "JOHN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "CT1206",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "060001206CT01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "0007759",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "176787",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "121682",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4062334",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4320150",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- 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.