ANNETTE L HEADLEY MD LLC
NPI 1568772242
Dermatology in Mystic, CT

Active since October 15, 2010
56 WHITEHALL AVE, MYSTIC, CT 06355(860) 536-1354(860) 536-7043 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Annette L Headley Md Llc NPPES

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

ANNETTE L HEADLEY MD LLC (NPI 1568772242) is a healthcare organization registered as a dermatology in Mystic, Connecticut and active in the NPI registry since October 2010. The organization lists Annette L Headley, Proprietor/physician, as its authorized official.

NPPES Registry Identity

NPI1568772242
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameANNETTE L HEADLEY MD LLC
Location Address56 WHITEHALL AVEMystic, CT 06355-1978
Mailing Address56 Whitehall AveMystic, CT 06355-1978 · (860) 536-1354 · Fax (860) 536-7043
Fax(860) 536-7043
Organization SubpartNo
Authorized OfficialAnnette L HeadleyProprietor/physician · (860) 536-1354
Enumeration DateOctober 15, 2010
Last NPPES UpdateNovember 9, 2010
NPI 1568772242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CT · 034245
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
56 WHITEHALL AVE, Mystic, CT 06355

Other Identifiers 1

Other1295841682CT · Personal Npi Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Internal Medicine
56 WHITEHALL AVE, RT 27
MYSTIC, CT 06355
Specialist
56 WHITEHALL AVE, SUITE A
MYSTIC, CT 06355
Internal Medicine
56 WHITEHALL AVE, RT 27
MYSTIC, CT 06355

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 Annette L Headley MD LLC's NPI number?

The NPI number for Annette L Headley MD LLC is 1568772242. It was assigned to this organization in the NPPES registry on October 15, 2010.

Where is Annette L Headley MD LLC located?

Annette L Headley MD LLC is located at 56 Whitehall Ave, Mystic, CT 06355. The listed phone number is (860) 536-1354.

What is Annette L Headley MD LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Annette L Headley MD LLC was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.