Active NPI
Christyn Marie Opromollo, PSYD
- Psychologist
- Glastonbury, CT
National Provider Identifier
1952086407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4872
- Practice address
- 2300 Main St
Glastonbury, CT 06033-2218 - Phone
- (860) 430-1762
- Fax
- (860) 430-1767
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- 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 | 4872 | CT | Primary |
Addresses
Primary practice location
2300 Main St
Glastonbury, CT 06033-2218
Mailing address
477 Spruce St
Hawley, PA 18428-4570
Phone (973) 610-9677
Other names 1
- Christyn Marie Dranginis
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2150 Corbin Ave
New Britain, CT 06053-2266
2150 Corbin Ave
New Britain, CT 06053-2298
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4872 | CT | MD | Social Worker |
Organizations & group practices 1
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.
-
- Long Term Care Hospital
- New Britain, CT
- NPI 1477534089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1952086407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "477 SPRUCE ST",
"city": "HAWLEY",
"state": "PA",
"postal_code": "184284570",
"telephone_number": "973-610-9677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 MAIN ST",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060332218",
"telephone_number": "860-430-1762",
"fax_number": "860-430-1767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPROMOLLO",
"first_name": "CHRISTYN",
"middle_name": "MARIE",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "4872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTYN",
"last_name": "DRANGINIS",
"middle_name": "MARIE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Glastonbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.