SHAYLICE MICHELLE MESEROLE (NPI# 1912372350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912372350 |
| Entity Type | Individual |
| Full Name | SHAYLICE MICHELLE MESEROLE |
| Credential | APRN |
| Practice Address |
415 Main St West Haven CT 06516-4296 |
| Mailing Address |
100 Clark Ave Branford CT 06405-4730 |
| Practice Telephone | 2039311184 |
| Mailing Telephone | 3126969321 |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 116134 | CT | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
6406 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 170 Ray Rd, New Haven, CT 065152324 | 2036764299 | |
| 3620 W Irving Park Rd Apt 3, Chicago, IL 606184116 | 2036764299 |
| Street Address |
415 MAIN ST |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-4296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971119 | Erica Guzman | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2020-08-07 |
| 1245863745 | Lauren Depietro | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2020-02-13 |
| 1144852468 | Claudine Jean-baptiste | Social Worker | 415 Main St, West Haven, CT 06516-4296 | 2020-02-05 |
| 1588202923 | Janet Morcaldi | Social Worker | 415 Main St, West Haven, CT 06516-4296 | 2019-12-17 |
| 1982245486 | Jordan Baronski | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2019-10-05 |
| 1730739293 | Emajae Ricketts | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2019-09-17 |
| 1447714753 | Jessica Mikita | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2019-01-31 |
| 1982115747 | Patrick Davin | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2017-10-19 |
| 1790296978 | Jessica Dubey | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2017-10-16 |
| 1457701153 | Stephanie Peterson | Counselor | 415 Main St, West Haven, CT 06516-4296 | 2016-06-14 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425331 | Ryan Keenan | Nurse Practitioner | 34 Seaview Ave, West Haven, CT 06516-6846 | 2020-07-22 |
| 1073065603 | Sandra Ntreh | Nurse Practitioner | 115 Ardale St, West Haven, CT 06516-1834 | 2016-10-31 |
| 1023128543 | Michele V Coral | Nurse Practitioner | 950 Campbell Ave # 116-a, West Haven, CT 06516-2770 | 2006-08-30 |
| 1548265200 | Jennifer E Napoleone | Nurse Practitioner | 950 Campbell Avenue, Va Healthcare System B1/118, West Haven, CT 06516 | 2005-06-17 |
| 1174806681 | Gia Santoro | Nurse Practitioner | 950 Campbell Ave, Building 1, 7th Floor, 7-186 E, West Haven, CT 06516-2770 | 2011-09-21 |
| 1437488434 | Janice G. Pereira | Nurse Practitioner | 270 Center St, West Haven, CT 06516-4400 | 2009-12-22 |
| 1952583767 | Natasha Harris | Nurse Practitioner | 270 Center St, West Haven Mental Health Center, West Haven, CT 06516 | 2007-12-04 |
| 1184799413 | Donna Marie Tice | Nurse Practitioner | 950 Campbell Avenue, Veteran's Administration Medical Center, West Haven, CT 06516 | 2006-11-21 |
| 1487750972 | Dana Jean Cervone | Nurse Practitioner | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-09-15 |
| 1497707632 | Cheryl A Bevvino | Nurse Practitioner | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-05-16 |
| Find all providers in WEST HAVEN | ||||
| 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.