Active NPIIndividual providerSole proprietor

Dr. Joanna C Procaccini, PSYD, NCSP

Psychologist, Clinical in Milford, Connecticut

NPI Number1891058780
Practice location
203 Broad St, Suite C4, Milford, CT 06460-4751
Fax
888-783-9125
Last updated
May 29, 2015

Joanna Celeste Procaccini is a Psychologist, Clinical based in Milford, CT. Joanna Celeste Procaccini practices in Milford, CT and has the professional credentials of PSYD, NCSP. The NPI Number for Joanna Celeste Procaccini is 1891058780 and holds a License No. 003411 (CT). The current practice location address for Joanna Celeste Procaccini is 203 Broad St, Suite C4, Milford, CT 06460-4751 and can be reached out via phone at 203-850-0140 and via fax at 888-783-9125.

Provider Profile Details

NPI Number
1891058780
Provider Name
Joanna Celeste Procaccini
Credential
PSYD, NCSP
Provider Entity Type
Individual
Gender
Female
Address
203 Broad St, Suite C4, Milford, CT 06460-4751
Phone Number
203-850-0140
Fax Number
888-783-9125
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 17, 2012
Last Update Date
May 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
203 Broad St
Suite C4
Milford, CT 06460-4751
Zip
06460-4751
Phone Number
203-850-0140
Fax Number
888-783-9125
Milford, CT 06460Get directions →

Provider Business Mailing Address Details

Address
203 Broad St
Suite C4
Milford, CT 06460-4751
City
Milford
State
CT
Zip
06460-4751
Phone Number
203-850-0140
Fax Number
888-783-9125

License Information

License Number
003411
License State
CT
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Dr. Joanna C Procaccini, PSYD, NCSP?

The NPI number of Dr. Joanna C Procaccini, PSYD, NCSP is 1891058780. It was assigned on June 17, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Joanna C Procaccini, PSYD, NCSP?

Dr. Joanna C Procaccini, PSYD, NCSP is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 003411.

Where does Dr. Joanna C Procaccini, PSYD, NCSP practice?

The practice location is 203 Broad St, Suite C4, Milford, CT 06460-4751. The office can be reached at 203-850-0140 (phone) or 888-783-9125 (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 1891058780 directly on the NPPES registry website.

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