Provider Demographics
NPI:1477619500
Name:D'ARCANGELO, JANET S (PHD, APRN, BC-PMHCS)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:S
Last Name:D'ARCANGELO
Suffix:
Gender:F
Credentials:PHD, APRN, BC-PMHCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 FITCH AVE
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-5337
Mailing Address - Country:US
Mailing Address - Phone:203-655-1250
Mailing Address - Fax:203-621-3444
Practice Address - Street 1:39 FITCH AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-5337
Practice Address - Country:US
Practice Address - Phone:203-655-1250
Practice Address - Fax:203-621-3444
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2008-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTR28279163W00000X
CT002415363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT243936OtherHEALTH NET PROVIDER #
CT400002415CT03OtherANTHEM
CT62-67669OtherUNITED HEALTHCARE
CTP3602604OtherOXFORD HEALTH PLANS
CT7547131OtherCIGNA