Provider Demographics
NPI:1497011704
Name:BRUNETTI, CATHERINE ELAINE (BS, MSFT ,LMFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELAINE
Last Name:BRUNETTI
Suffix:
Gender:F
Credentials:BS, MSFT ,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PECK RD STE 2105
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6123
Mailing Address - Country:US
Mailing Address - Phone:959-255-4706
Mailing Address - Fax:
Practice Address - Street 1:30 PECK RD STE 2105
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6123
Practice Address - Country:US
Practice Address - Phone:959-255-4706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1726106H00000X
CT1738106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008060209Medicaid
CT465017OtherMHN
CTPENDINGOtherMHN TRICARE NORTH
CTPENDINGOtherAETNA BEHAVIORAL HEALTH
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH
CT13609807OtherCAQH
CTPENDINGOtherHP MEDICAID
CT13609807OtherCAQH
CTPENDINGOtherCIGNA BEHAVIORAL HEALTH
CT465017OtherMHN
CTD339230-TORRINGTONOtherVALUE OPTIONS WELLMORE GRP/FACILITY
CTPENDINGOtherAETNA BEHAVIORAL HEALTH
CT060669107OtherUBH-UNITED HEALTH CARE WELLMORE GRP/FACILITY
CTPENDINGOtherHP MEDICAID
CT060669107OtherUNITED BEHAVIORAL HEALTH