MARY MASCOLO PELLITTERI LADC
NPI 1245414440
Counselor - Addiction (Substance Use Disorder) in Derby, CT

Active since December 24, 2007
130 DIVISION STREET, GRIFFIN HOSPITAL, DERBY, CT 06418(203) 732-7550(203) 732-1550 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Mascolo Pellitteri Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MASCOLO PELLITTERI LADC (NPI 1245414440) is an individual addiction (substance use disorder) provider in Derby, Connecticut, licensed in Connecticut (00364) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1245414440
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARY MASCOLO PELLITTERICredential: LADC
Location Address130 DIVISION STREET, GRIFFIN HOSPITALDerby, CT 06418
Mailing Address130 Division Street, Griffin HospitalDerby, CT 06418 · (203) 732-7550 · Fax (203) 732-1550
Fax(203) 732-1550
Sole ProprietorNo
Enumeration DateDecember 24, 2007
Last NPPES UpdateMay 16, 2022
NPPES CertifiedMay 16, 2022
NPI 1245414440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CT · 00364
130 DIVISION STREET, Derby, CT 06418

Other Identifiers 1

Other00364CT · License Number

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
130 DIVISION STREET
DERBY, CT 06418
Counselor
130 DIVISION STREET, GRIFFIN HOSPITAL
DERBY, CT 06418
Internal Medicine
130 DIVISION STREET
DERBY, CT 06418
Counselor (Mental Health)
130 DIVISION STREET, GRIFFIN HOSPITAL
DERBY, CT 06418
Internal Medicine
130 DIVISION STREET
DERBY, CT 06418
Internal Medicine (Interventional Cardiology)
130 DIVISION STREET
DERBY, CT 06418
Clinic/Center (Mental Health (Including Community Mental Health Center))
130 DIVISION STREET
DERBY, CT 06418
Pain Medicine (Interventional Pain Medicine)
130 DIVISION STREET
DERBY, CT 06418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Pellitteri's NPI number?

The NPI number for Mary Pellitteri is 1245414440. It was assigned to this individual provider in the NPPES registry on December 24, 2007.

Where is Mary Pellitteri located?

Mary Pellitteri practices at 130 Division Street Griffin Hospital, Derby, CT 06418. The listed phone number is (203) 732-7550.

What is Mary Pellitteri's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Pellitteri was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.