Danil Anisimov
Nurse Practitioner, Psych/Mental Health in Old Saybrook, Connecticut
1114150984- Practice location
- 20 Research Pkwy, Old Saybrook, CT 06475-4214
- Phone
- 800-370-3651
- Fax
- 860-510-0020
- Last updated
- April 28, 2017
Danil Anisimov is a Nurse Practitioner, Psych/Mental Health based in Old Saybrook, CT. Danil Anisimov practices in Old Saybrook, CT. The NPI Number for Danil Anisimov is 1114150984 and holds a License No. 4165 (CT). The current practice location address for Danil Anisimov is 20 Research Pkwy, Old Saybrook, CT 06475-4214 and can be reached out via phone at 800-370-3651 and via fax at 860-510-0020.
Provider Profile Details
- NPI Number
- 1114150984
- Provider Name
- Danil Anisimov
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 20 Research Pkwy, Old Saybrook, CT 06475-4214
- Phone Number
- 800-370-3651
- Fax Number
- 860-510-0020
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 27, 2009
- Last Update Date
- April 28, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 20 Research Pkwy
Old Saybrook, CT 06475-4214 - City
- Old Saybrook
- State
- Connecticut
- Zip
- 06475-4214
- Phone Number
- 800-370-3651
- Fax Number
- 860-510-0020
Provider Business Mailing Address Details
- Address
- 31 Richards Grove RD
Quaker Hill, CT 06375-1524 - City
- Quaker Hill
- State
- CT
- Zip
- 06375-1524
License Information
- License Number (1)
- 4165
- License State (1)
- CT
- Taxonomy (1)
- Nurse Practitioner, Family · 363LF0000X
- License Number (2)
- 4165
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Danil Anisimov?
The NPI number of Danil Anisimov is 1114150984. It was assigned on August 27, 2009 and is currently active in the NPPES registry.
What is the specialty of Danil Anisimov?
Danil Anisimov is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 4165.
Where does Danil Anisimov practice?
The practice location is 20 Research Pkwy, Old Saybrook, CT 06475-4214. The office can be reached at 800-370-3651 (phone) or 860-510-0020 (fax).
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 1114150984 directly on the NPPES registry website.