Active NPIIndividual provider

Leah Mattiaccio, PMHNP-BC

Student in an Organized Health Care Education/Training Program in Orange, Connecticut

NPI Number1184340465
Practice location
400 W Campus Dr, Orange, CT 06477-3646
Fax
—
Last updated
October 18, 2022

Leah Mattiaccio is a Student in an Organized Health Care Education/Training Program based in Orange, CT. Leah Mattiaccio practices in Orange, CT and has the professional credentials of PMHNP-BC. The NPI Number for Leah Mattiaccio is 1184340465. The current practice location address for Leah Mattiaccio is 400 W Campus Dr, Orange, CT 06477-3646 and can be reached out via phone at 203-785-2389.

Provider Profile Details

NPI Number
1184340465
Provider Name
Leah Mattiaccio
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
400 W Campus Dr, Orange, CT 06477-3646
Phone Number
203-785-2389
Sole Proprietor
No
Provider Enumeration Date
October 18, 2022
Last Update Date
October 18, 2022
Certification Date
October 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 W Campus Dr
Orange, CT 06477-3646
City
Orange
Zip
06477-3646
Phone Number
203-785-2389
Orange, CT 06477Get directions →

Provider Business Mailing Address Details

Address
400 W Campus Dr
Orange, CT 06477-3646
City
Orange
State
CT
Zip
06477-3646
Phone Number
203-785-2389

License Information

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 Leah Mattiaccio, PMHNP-BC?

The NPI number of Leah Mattiaccio, PMHNP-BC is 1184340465. It was assigned on October 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Leah Mattiaccio, PMHNP-BC?

Leah Mattiaccio, PMHNP-BC is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Leah Mattiaccio, PMHNP-BC practice?

The practice location is 400 W Campus Dr, Orange, CT 06477-3646. The office can be reached at 203-785-2389 (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 1184340465 directly on the NPPES registry website.

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