Active NPI
Deanna Marie Ferrentino
- Clinical Child & Adolescent Psychologist
- Hartford, CT
National Provider Identifier
1972883957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 200 Retreat Ave
Hartford, CT 06106-3310 - Phone
- (860) 696-0014
- NPI assigned
- Aug 23, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
200 Retreat Ave
Hartford, CT 06106-3310
Mailing address
10 Bent Tree Dr
East Longmeadow, MA 01028-1368
Phone (413) 896-8231
Other practice location 1
50 Maple Street
Springfield, MA 01102
Phone (413) 794-9816
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ? |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4047 | CT | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1972883957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 BENT TREE DR",
"city": "EAST LONGMEADOW",
"state": "MA",
"postal_code": "010281368",
"telephone_number": "413-896-8231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RETREAT AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063310",
"telephone_number": "860-696-0014"
}
],
"practiceLocations": [
{
"address_1": "50 Maple Street",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "01102",
"country_code": "US",
"telephone_number": "413-794-9816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERRENTINO",
"first_name": "DEANNA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-23",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "?",
"affiliation": "N",
"address_1": "200 Retreat Ave",
"city": "Hartford",
"state": "CT",
"country_code": "US",
"postal_code": "061063310",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.