Active NPIIndividual provider

Trisha Dibiase, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Canton, Connecticut

NPI Number1154895704
Practice location
320 Albany Tpke, Canton, CT 06019-2540
Fax
860-371-3105
Last updated
October 4, 2023

Trisha Dibiase is a Nurse Practitioner, Psych/Mental Health based in Canton, CT. Trisha Dibiase practices in Canton, CT and has the professional credentials of PMHNP-BC. The NPI Number for Trisha Dibiase is 1154895704 and holds a License No. 8046 (CT). The current practice location address for Trisha Dibiase is 320 Albany Tpke, Canton, CT 06019-2540 and can be reached out via phone at 860-385-3751 and via fax at 860-371-3105.

Provider Profile Details

NPI Number
1154895704
Provider Name
Trisha Dibiase
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
320 Albany Tpke, Canton, CT 06019-2540
Phone Number
860-385-3751
Fax Number
860-371-3105
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2019
Last Update Date
October 4, 2023
Certification Date
October 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
320 Albany Tpke
Canton, CT 06019-2540
City
Canton
Zip
06019-2540
Phone Number
860-385-3751
Fax Number
860-371-3105
Canton, CT 06019Get directions →

Provider Business Mailing Address Details

Address
320 Albany Tpke
Canton, CT 06019-2540
City
Canton
State
CT
Zip
06019-2540
Phone Number
860-385-3751
Fax Number
860-371-3105

License Information

License Number
8046
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Trisha Dibiase, PMHNP-BC?

The NPI number of Trisha Dibiase, PMHNP-BC is 1154895704. It was assigned on January 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Trisha Dibiase, PMHNP-BC?

Trisha Dibiase, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 8046.

Where does Trisha Dibiase, PMHNP-BC practice?

The practice location is 320 Albany Tpke, Canton, CT 06019-2540. The office can be reached at 860-385-3751 (phone) or 860-371-3105 (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 1154895704 directly on the NPPES registry website.

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