MRS. MADONNA KAY FASULA (A.P.R.N.) – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1053626929

MRS. MADONNA KAY FASULA (A.P.R.N.) is a healthcare provider. based in New haven, Connecticut. specializing in Adult Psychiatric/Mental Health Clinical Nurse Specialist. They hold the professional credentials A.P.R.N.. They hold a License No. 002435 (CT). The NPI Number for MRS. MADONNA KAY FASULA (A.P.R.N.) is 1053626929

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MADONNA KAY FASULA (A.P.R.N.)
NPI
1053626929
Phone
(203) 764-9131
Address
100 YORK ST STE 2J
Enumeration Date
16 August 2010
Last Update Date
16 August 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032812890
Graduation Year
1999 (27 years ago)
PAC ID
9032421797
Group Practice PAC ID
1254328610
Professional Enrollment ID
I20150709000229
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MRS. MADONNA KAY FASULA (A.P.R.N.)

  • 100 YORK ST STE 2J

    NEW HAVEN, CT 065115664

    Phone: (203) 764-9131

    Fax: (203) 764-5963

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06511)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254328610View full group profile
NameSpecialtyState
ENRIQUE J TELLO (MD)
P S Y C H I A T R YCT
KAREN ORZACK-MOORE (LCSW)
Clinical Social WorkerCT
KRISTIN HALE (APRN)
-CT
ROBERT B OSTROFF (MD)
P S Y C H I A T R YCT
KRISTI LEE CAVALLO (LCSW)
Clinical Social WorkerCT
MS. JENNIFER C GEREDA (LCSW)
-CT
DANIEL C MOORE (MD)
-CT
ANTHONY J COLOMBRITO (LPC)
Mental Health CounselorCT
MRS. STEFANIE LACCONE THACH (LCSW)
Clinical Social WorkerCT
MICHAEL B VOLLMAR (MD)
P S Y C H I A T R YCT

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Frequently asked questions

Where can patients find MRS. MADONNA KAY FASULA (A.P.R.N.)'s NPI?
You can confirm MRS. MADONNA KAY FASULA (A.P.R.N.) with NPI 1053626929; it appears in the national provider directory.
Is MRS. MADONNA KAY FASULA (A.P.R.N.) active in the national directory?
MRS. MADONNA KAY FASULA (A.P.R.N.)'s public NPI profile is in an active state.
Does MRS. MADONNA KAY FASULA (A.P.R.N.) list a primary specialty?
If you are matching referrals, note Adult Psychiatric/Mental Health Clinical Nurse Specialist for MRS. MADONNA KAY FASULA (A.P.R.N.). Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. MADONNA KAY FASULA (A.P.R.N.)?
The page summarizes New Haven, Connecticut for MRS. MADONNA KAY FASULA (A.P.R.N.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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