ROSEANNE MASCOLO


Address: 440d North Main St, Bristol, CT 06010
Phone: 8603142052

ROSEANNE MASCOLO (NPI# 1861433005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861433005
Entity Type Individual
Full Name ROSEANNE MASCOLO
Credential LADC
Practice Address 440d North Main St
Bristol
CT 06010
Mailing Address Po Box 2828
Bristol
CT 06011
Practice Telephone 8603142052
Practice Fax Number 8603142054
Mailing Telephone 8605853906
Mailing Fax Number 8605853907
Enumeration Date 2006-06-09
Last Update Date 2007-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
000559 CT Behavioral Health & Social Service Providers

Office Location

Street Address 440D NORTH MAIN ST
City BRISTOL
State CT
Zip Code 06010

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1962062810 Ariel Morley Urology 15 Riverside Avenue, Bristol, CT 06010 2019-06-13
1013439488 Theresa Rose Manolitsis Student in an Organized Health Care Education/Training Program 170 Pondview Lane, Bristol, CT 06010 2017-07-07
1588103600 Elizabeth Anne Costello Pharmacist 747 Pine Street, Bristol, CT 06010 2017-02-22
1992157903 Aiman Riaz Internal Medicine 41 Brewster Rd # 5161, Bristol, CT 06010 2016-07-01
1346609955 Monika Magdalena Sullivan Nurse Practitioner 122 Maple Street, Bristol, CT 06010 2016-02-11
1346660776 Peter Bellezza Podiatrist 15 Riverside Ave, Bristol, CT 06010 2014-04-24
1487088001 Stephen Alexander Merwin Social Worker 32 Laird Drive, Bristol, CT 06010 2013-08-30
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710505284 Alfred Levi Greenleaf Jr. Counselor 51 Maheu St, Bristol, CT 06010-3051 2020-07-10
1659992022 Christina Michelle Dye Counselor 209 Robin Rd, Bristol, TN 37620-2716 2020-04-27
1790106979 Clinical & Forensic Consultation, LLC Counselor 100 5th St Ste 310, Bristol, TN 37620-5919 2013-12-14
1699986539 Inga A. Brockington Counselor 114r Radcliffe St, Bristol, PA 19007-5012 2007-05-24
1720294283 Terri Marie Mayer Thomsen Counselor 27a Main St, Bristol, VT 05443-1317 2007-05-14
1992800684 Ann Dreher Fisher Counselor 14 School Street, Suite #9, Bristol, VT 05443 2006-09-14
1417596727 Next Steps Services, Inc. Counselor 261 North St, Bristol, VA 24201-3275 2020-01-03
1386043982 Nayda Lemay Counselor 91 Bellevue Ave, Bristol, CT 06010-5817 2014-08-19
1598980161 Charles C Cavalconte Counselor 88 Church St, Bristol, RI 02809-2226 2007-04-17
1437298726 Jeanine Sullivan Counselor 61 Bradley St, Bristol, CT 06010-5103 2007-02-05
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Competitor

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City BRISTOL
Zip Code 06010

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Dataset Information

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.

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