MR. JOSEPH ANTHONY LICAUSI II (NPI# 1871112839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871112839 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH ANTHONY LICAUSI II |
| Practice Address |
950 Campbell Ave West Haven CT 06516-2770 |
| Mailing Address |
17 Nicholas Dr East Haven CT 06512-1145 |
| Practice Telephone | 2039325711 |
| Mailing Telephone | 2038438149 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374700000X | Technician | PTN.0007595 | CT | Nursing Service Related Providers |
| Street Address |
950 CAMPBELL AVE |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-2770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023011434 | Jacqueline Marie Martin | Nurse Anesthetist, Certified Registered | 950 Campbell Ave, West Haven, CT 06516-2770 | 2005-05-31 |
| 1134728413 | Matthew Thomas Walsh | Physical Therapist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-19 |
| 1184221467 | Victoria Leigh Dasilva | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-10-08 |
| 1467069716 | Steven Lemieux | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-29 |
| 1629685581 | Ramandeep Kaur | Optometrist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1972110864 | Lorena Rivera Mitchell | Social Worker | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-25 |
| 1174139851 | Angela Haeny | Psychologist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1225644966 | Neil Bidon | Registered Nurse | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-18 |
| 1952916181 | Courtney Burgazli | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-14 |
| 1316552862 | Amanda Victoria Loomis | Pharmacist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 374700000X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| (1) A person with specialized training in a narrow field of expertise whose occupation requires training and is skilled in specific technical processes and procedures. (2) An individual having special skill or practical knowledge in an area, such as operation and maintenance of equipment or performance of laboratory procedures involving biochemical analyses. Special technical qualifications are normally required, though an increasing number or technicians also possess university degrees in science, and occasionally doctorate degrees. The distinction between technician and technologist in the health care field is not always clear. |
| Notes: Sources: (1) Rhea, Ott, and Shafritz, The Facts on File Dictionary of Health Care Management, New York: Facts on File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition, Philadelphia: W.B. Saunders Company, 1981 and Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1984. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 776. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477031995 | Patrick Goncalo | Technician | 950 Campbell Ave, West Haven, CT 06516-2770 | 2018-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104318088 | Linnea Graziano | Technician | 500 Albany Ave, Hartford, CT 06120-2508 | 2018-06-05 |
| City | WEST HAVEN |
| Zip Code | 06516 |
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| 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.