DR. KRISTIN JOHNSON DINATALE (NPI# 1770744864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770744864 |
Entity Type | Individual |
Full Name | DR. KRISTIN JOHNSON DINATALE |
Credential | PSY.D. |
Practice Address |
350 Center St Suite 207 Wallingford CT 06492-4243 |
Practice Telephone | 2032692355 |
Practice Fax Number | 2032692357 |
Mailing Telephone | 2032692355 |
Mailing Fax Number | 2032692357 |
Enumeration Date | 2008-06-20 |
Last Update Date | 2008-06-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
002522 | CT | Behavioral Health & Social Service Providers |
Street Address |
350 CENTER ST SUITE 207 |
City | WALLINGFORD |
State | CT |
Zip Code | 06492-4243 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619970514 | Lynn C Vaughan | Physical Therapist | 350 Center St, Ste 104, Wallingford, CT 06492-4243 | 2005-05-24 |
1417176462 | Wallingford Physical Therapy | Physical Therapist | 350 Center St, Suite 104, Wallingford, CT 06492-4243 | 2007-04-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
Find all providers in zip 06492 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750790382 | Debra Thompson | Psychologist | 715 Scott Lane, Wallingford, PA 19086 | 2014-08-07 |
1932299716 | James Rokos | Psychologist | 511 Scott Ln, Wallingford, PA 19086-6845 | 2006-10-13 |
1558479360 | Rhoda Lynne Kreisman | Psychologist | 393 Center St, Wallingford, CT 06492-4206 | 2006-08-29 |
1851715635 | Maple Leaf Clinic | Psychologist | 167 N Main St, Wallingford, VT 05773-9800 | 2014-02-13 |
1124225768 | Eugene Schulze | Psychologist | Gaylord Hospital, Gaylord Farm Rd, Wallingford, CT 06492 | 2007-06-28 |
1568686822 | Dean Jm Mooney | Psychologist | 167 North Main St., Wallingford, VT 05773 | 2007-04-11 |
1861567273 | Marc Hillbrand | Psychologist | 1062 Barnes Rd, Suite 204, Wallingford, CT 06492-6012 | 2006-11-21 |
1730193236 | Karole J. Kreutter | Psychologist | 1062 Barnes Rd, Suite 204, Wallingford, CT 06492-6012 | 2006-07-28 |
1891746244 | John Cline | Psychologist | Gaylord Farms Rd., Wallingford, CT 06492 | 2006-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
Find all providers with the same taxonomy |
City | WALLINGFORD |
Zip Code | 06492 |
Please comment or provide details below to improve the information on DR. KRISTIN JOHNSON DINATALE.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.