Active NPIIndividual providerSole proprietor

Alice M Madaza, NP

Nurse Practitioner, Psych/Mental Health in Killingly, Connecticut

NPI Number1265359756
Practice location
129 Woodward St, Killingly, CT 06239-1644
Fax
—
Last updated
July 4, 2026

Alice M Madaza is a Nurse Practitioner, Psych/Mental Health based in Killingly, CT. Alice M Madaza practices in Killingly, CT and has the professional credentials of NP. The NPI Number for Alice M Madaza is 1265359756 and holds a License No. 12.017729 (CT). The current practice location address for Alice M Madaza is 129 Woodward St, Killingly, CT 06239-1644 and can be reached out via phone at 508-371-8180.

Provider Profile Details

NPI Number
1265359756
Provider Name
Alice M Madaza
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
129 Woodward St, Killingly, CT 06239-1644
Phone Number
508-371-8180
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
July 4, 2026
Last Update Date
July 4, 2026
Certification Date
July 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
129 Woodward St
Killingly, CT 06239-1644
Zip
06239-1644
Phone Number
508-371-8180
Killingly, CT 06239Get directions →

Provider Business Mailing Address Details

Address
129 Woodward St
Killingly, CT 06239-1644
City
Killingly
State
CT
Zip
06239-1644
Phone Number
508-371-8180

License Information

License Number
12.017729
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 Alice M Madaza, NP?

The NPI number of Alice M Madaza, NP is 1265359756. It was assigned on July 4, 2026 and is currently active in the NPPES registry.

What is the specialty of Alice M Madaza, NP?

Alice M Madaza, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 12.017729.

Where does Alice M Madaza, NP practice?

The practice location is 129 Woodward St, Killingly, CT 06239-1644. The office can be reached at 508-371-8180 (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 1265359756 directly on the NPPES registry website.

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