Provider Demographics
NPI:1811124449
Name:BATTISTONI, CARA E (PSYD)
Entity type:Individual
Prefix:DR
First Name:CARA
Middle Name:E
Last Name:BATTISTONI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:CARA
Other - Middle Name:E
Other - Last Name:BARBIERRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:124 PALISADO AVE
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-2052
Mailing Address - Country:US
Mailing Address - Phone:203-912-7562
Mailing Address - Fax:
Practice Address - Street 1:124 PALISADO AVE
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:CT
Practice Address - Zip Code:06095-2052
Practice Address - Country:US
Practice Address - Phone:203-912-7562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002862103TC2200X, 103TF0000X, 103TC0700X, 103TM1800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities