Provider Demographics
NPI:1891532057
Name:SKYLIGHT BEHAVIOR HEALTH, PLLC
Entity type:Organization
Organization Name:SKYLIGHT BEHAVIOR HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:475-267-1088
Mailing Address - Street 1:4 HOPSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-3694
Mailing Address - Country:US
Mailing Address - Phone:475-267-1088
Mailing Address - Fax:
Practice Address - Street 1:4 HOPSON AVE
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-3694
Practice Address - Country:US
Practice Address - Phone:203-645-5886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-13
Last Update Date:2024-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health