Active NPIOrganization

Michael Dibiase LLC

Psychiatry & Neurology, Psychiatry in Wethersfield, Connecticut

NPI Number1063205789
Practice location
185 Silas Deane Hwy Ste 200, Wethersfield, CT 06109-1219
Fax
—
Last updated
August 1, 2025

Michael Dibiase LLC is a healthcare organization based in Wethersfield, CT. Michael Dibiase LLC practices in Wethersfield, CT. The NPI Number for Michael Dibiase LLC is 1063205789. The current practice location address for Michael Dibiase LLC is 185 Silas Deane Hwy Ste 200, Wethersfield, CT 06109-1219 and can be reached out via phone at 860-222-0840.

Provider Profile Details

NPI Number
1063205789
Provider Name
Michael Dibiase LLC
Provider Entity Type
Organization
Address
185 Silas Deane Hwy Ste 200, Wethersfield, CT 06109-1219
Phone Number
860-222-0840
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Dr. Michael Dibiase · Owner · 516-578-7501
Provider Enumeration Date
May 26, 2025
Last Update Date
August 1, 2025
Certification Date
August 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Silas Deane Hwy Ste 200
Wethersfield, CT 06109-1219
Zip
06109-1219
Phone Number
860-222-0840
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
42 Cumberland RD
West Hartford, CT 06119-1120
City
West Hartford
State
CT
Zip
06119-1120

License Information

Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michael Dibiase LLC?

The NPI number of Michael Dibiase LLC is 1063205789. It was assigned on May 26, 2025 and is currently active in the NPPES registry.

What is the specialty of Michael Dibiase LLC?

Michael Dibiase LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).

Where does Michael Dibiase LLC practice?

The practice location is 185 Silas Deane Hwy Ste 200, Wethersfield, CT 06109-1219. The office can be reached at 860-222-0840 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063205789 directly on the NPPES registry website.

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