Provider Demographics
NPI:1316217698
Name:ROSARIO, FRANCISCO JAVIER (LPC)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:JAVIER
Last Name:ROSARIO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:DR
Other - First Name:FRANCISCO
Other - Middle Name:JAVIER
Other - Last Name:ROSARIO ORIZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYCHOLOGIST
Mailing Address - Street 1:400 COLUMBUS AVENUE
Mailing Address - Street 2:CREDENTIALING SPECIALIST
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06519-1233
Mailing Address - Country:US
Mailing Address - Phone:203-503-3174
Mailing Address - Fax:203-503-3183
Practice Address - Street 1:400 COLUMBUS AVE
Practice Address - Street 2:ADULT PSYCHIATRIC CLINIC
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06519-1233
Practice Address - Country:US
Practice Address - Phone:203-503-3113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2020-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3642101YP2500X
PR4199103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004235918Medicaid