MR. JOHN F SIDOLI (NPI# 1548330319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548330319 |
| Entity Type | Individual |
| Full Name | MR. JOHN F SIDOLI |
| Credential | LPC |
| Practice Address |
2 Vance Drive Middletown CT 06457 |
| Mailing Address |
148 Canal St Westerly RI 02891-1553 |
| Practice Telephone | 8603442244 |
| Mailing Telephone | 4013480135 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
000384 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | PROFESSIONAL COUNSELOR | 000384 | 01 |
| Street Address |
2 VANCE DRIVE |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598887218 | Marc N Potenza | Psychiatry & Neurology | 2 Vance Drive, Connecticut Valley Hospital Problem Gambling Services R, Middletown, CT 06457 | 2007-04-04 |
| 1679648562 | Christopher Joseph Armentano | Social Worker | 2 Vance Drive, Problem Gambling Services Russell Hall, Middletown, CT 06457 | 2006-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225641210 | Channel Malissa Reeder | Counselor | 31 Meadow View Dr, Middletown, NY 10940-3358 | 2020-08-28 |
| 1285244889 | Jenna D Howard | Counselor | 832 Guthrie Cir, Middletown, DE 19709-9977 | 2020-08-07 |
| 1952910150 | Tiyahna Miles | Counselor | 336 Liborio Dr, Middletown, DE 19709-3111 | 2020-07-24 |
| 1427671478 | Shannon M. Pine | Counselor | E Admiralty Drive, 2, Middletown, RI 02842 | 2020-05-26 |
| 1366080624 | Jennifer Calahan | Counselor | 10 Jersey Ct, Middletown, DE 19709-6813 | 2019-12-18 |
| 1679111991 | Better Days Counseling, LLC | Counselor | 360 Main St Apt 2, Middletown, CT 06457-3375 | 2019-12-17 |
| 1508425612 | Shatema Smith | Counselor | 4 Cobb Ln Apt J, Middletown, NY 10940-7049 | 2019-06-12 |
| 1801371729 | Taylor S Smith | Counselor | 1801 Oberlin Rd Ste 30312, Middletown, PA 17057-2998 | 2018-09-26 |
| 1922586288 | Christiana Care Health Services Inc | Counselor | 1080 Bunker Hill Rd, Middletown, DE 19709-9026 | 2018-07-30 |
| 1295227148 | Nicole May | Counselor | 11 Jimal Dr, Middletown, NY 10940-3649 | 2018-06-05 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MR. JOHN F SIDOLI.
| 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.