Katherine E Provaznik, DO
Psychiatry & Neurology, Psychiatry in Wethersfield, Connecticut
1376002311- Practice location
- 1260 Silas Deane Hwy Ste 101, Wethersfield, CT 06109-4363
- Phone
- 860-545-7550
- Fax
- —
- Last updated
- February 4, 2026
Katherine Elizabeth Provaznik is a Psychiatry & Neurology, Psychiatry based in Wethersfield, CT. Katherine Elizabeth Provaznik practices in Wethersfield, CT and has the professional credentials of DO. The NPI Number for Katherine Elizabeth Provaznik is 1376002311 and holds a License No. 82532 (CT). The current practice location address for Katherine Elizabeth Provaznik is 1260 Silas Deane Hwy Ste 101, Wethersfield, CT 06109-4363 and can be reached out via phone at 860-545-7550.
Provider Profile Details
- NPI Number
- 1376002311
- Provider Name
- Katherine Elizabeth Provaznik
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1260 Silas Deane Hwy Ste 101, Wethersfield, CT 06109-4363
- Phone Number
- 860-545-7550
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 19, 2019
- Last Update Date
- February 4, 2026
- Certification Date
- February 4, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1260 Silas Deane Hwy Ste 101
Wethersfield, CT 06109-4363 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-4363
- Phone Number
- 860-545-7550
Provider Business Mailing Address Details
- Address
- 1260 Silas Deane Hwy Ste 101
Wethersfield, CT 06109-4363 - City
- Wethersfield
- State
- CT
- Zip
- 06109-4363
- Phone Number
- 860-545-7550
License Information
- License Number (1)
- 82532
- License State (1)
- CT
- Taxonomy (1)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
- License Number (2)
- 82532
- License State (2)
- CT
- Taxonomy (2)
- Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry · 2084B0040X
- License Number (3)
- 2974
- License State (3)
- WI
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
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 Katherine E Provaznik, DO?
The NPI number of Katherine E Provaznik, DO is 1376002311. It was assigned on March 19, 2019 and is currently active in the NPPES registry.
What is the specialty of Katherine E Provaznik, DO?
Katherine E Provaznik, DO is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in CT under license number 82532.
Where does Katherine E Provaznik, DO practice?
The practice location is 1260 Silas Deane Hwy Ste 101, Wethersfield, CT 06109-4363. The office can be reached at 860-545-7550 (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 1376002311 directly on the NPPES registry website.