Provider Demographics
NPI:1497234421
Name:BERARDI, FRANCIS XAVIER (MS, LADC, ICAADC)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:XAVIER
Last Name:BERARDI
Suffix:
Gender:M
Credentials:MS, LADC, ICAADC
Other - Prefix:MR
Other - First Name:FRANK
Other - Middle Name:XAVIER
Other - Last Name:BERARDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LADC, ICAADC
Mailing Address - Street 1:1140 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4916
Mailing Address - Country:US
Mailing Address - Phone:954-295-4050
Mailing Address - Fax:954-278-7064
Practice Address - Street 1:4 BYINGTON PL
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3309
Practice Address - Country:US
Practice Address - Phone:203-866-2541
Practice Address - Fax:203-854-5682
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000027101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)