ROBERT L. CERCIETTO, M.D., P.C. (NPI# 1134352263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134352263 |
| Entity Type | Organization |
| Organization Name | ROBERT L. CERCIETTO, M.D., P.C. |
| Practice Address |
1001 Farmington Avenue Suite #301 West Hartford CT 06107-2121 |
| Practice Telephone | 8605212700 |
| Practice Fax Number | 8605216258 |
| Mailing Telephone | 8605212700 |
| Mailing Fax Number | 8605216258 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |
| Authorized Official Name | DR. ROBERT LOUIS CERCIELLO (PRESIDENT) |
| Authorized Official Telephone | 8605212700 |
| Authorized Official Credential | MD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
020686 | CT | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
017263 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
1001 FARMINGTON AVENUE SUITE #301 |
| City | WEST HARTFORD |
| State | CT |
| Zip Code | 06107-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891701918 | Robert Louis Cerciello | Psychiatry & Neurology | 1001 Farmington Avenue, Ste 301, West Hartford, CT 06107-2121 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538783659 | Briana Deslauriers | Audiologist | Solinsky Hearing Center, 1013 Farmington Avenue, West Hartford, CT 06107 | 2020-06-04 |
| 1750851366 | Candyce Yvonne Scott | Counselor | 61 S Main St Ste 310, West Hartford, CT 06107 | 2018-11-27 |
| 1124524798 | Image of Light Mental Health Services, LLC | Nurse Practitioner | 45 S Main St Ste 70, West Hartford, CT 06107 | 2018-04-03 |
| 1235632498 | Leila Fussell | Student in an Organized Health Care Education/Training Program | 175 Garfield Rd, West Hartford, CT 06107 | 2018-03-14 |
| 1568818169 | Gail Southard Canzano | Psychologist | 81 S. Main St, West Hartford, CT 06107 | 2016-05-12 |
| 1922470939 | Optimal Wellness of West Hartford | Family Medicine | 1001 Farmington Ave., West Hartford, CT 06107 | 2015-10-29 |
| 1518369925 | Maria Eugenia Garcia-ayala | Psychiatry & Neurology | 65 Memorial Rd Ste 508, West Hartford, CT 06107 | 2014-09-17 |
| 1376884981 | Robert Moss | Pediatrics | 174 Wood Pond Road, West Hartford, CT 06107 | 2013-03-06 |
| 1659630960 | Michael John Grille | Anesthesiology | 65 Memorial Rd #435, Hartford Hospital Pain Treatment Center, West Hartford, CT 06107 | 2012-05-07 |
| 1518268010 | Parsons Health Co. Inc | Legal Medicine | 61 So Main Street, Suite 202, West Hartford, CT 06107 | 2010-11-15 |
| Find all providers in zip 06107 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891701918 | Robert Louis Cerciello | Psychiatry & Neurology | 1001 Farmington Avenue, Ste 301, West Hartford, CT 06107-2121 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750583399 | Amanda W Pong | Psychiatry & Neurology | 50 Forest St, Apt 1421, Stamford, CT 06901 | 2007-06-05 |
| 1023158904 | Kathryn A Mcvicar | Psychiatry & Neurology | 330 Cedar St # Lmp3088, Yale Medical Pediatric Neurology, New Haven, CT 06510-3218 | 2007-02-08 |
| 1750321428 | Azimuddin Kazi | Psychiatry & Neurology | 2590 Main St, Stratford, CT 06615-5838 | 2006-06-08 |
| 1801215561 | Shilpa Dass | Psychiatry & Neurology | 1 Park St, New Haven, CT 06504-8901 | 2014-04-09 |
| 1053656892 | Linda Lee Huh | Psychiatry & Neurology | 800 Howard Ave, New Haven, CT 06519-1369 | 2012-12-05 |
| 1356611875 | Lila Worden | Psychiatry & Neurology | 282 Washington St, Hartford, CT 06106-3322 | 2012-01-02 |
| 1508182767 | Vinita Knight | Psychiatry & Neurology | 333 Cedar St, Lmp 3088, New Haven, CT 06510-3206 | 2010-04-13 |
| 1356503585 | Mark Linderman Schomer | Psychiatry & Neurology | 282 Washington St, Hartford, CT 06106-3322 | 2008-06-30 |
| 1053584573 | Jennifer E. Madan Cohen | Psychiatry & Neurology | 282 Washington St, Hartford, CT 06106-3322 | 2008-04-04 |
| 1538357892 | William R Yorns Jr. | Psychiatry & Neurology | 69 Sand Pit Rd, Suite 300, Danbury, CT 06810-4004 | 2007-10-11 |
| Find all providers with the same taxonomy | ||||
| City | WEST HARTFORD |
| Zip Code | 06107 |
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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.