NICHOLAS SITRO (PSY.D.) – Clinical Psychologist, NPI 1083490304

NICHOLAS SITRO (PSY.D.) is a healthcare provider. based in Norwich, Connecticut. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 4617 (CT). The NPI Number for NICHOLAS SITRO (PSY.D.) is 1083490304

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS SITRO (PSY.D.)
NPI
1083490304
Phone
(860) 889-7274
Address
150 OTROBANDO AVE
Enumeration Date
1 September 2023
Last Update Date
1 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608897274
Graduation Year
2022 (4 years ago)
PAC ID
6002260312
Group Practice PAC ID
9638494446
Professional Enrollment ID
I20230920001956
Address ID
CT063602116NO150XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

586 CLINICAL PSYCHOLOGIST in CT

Provider Addresses for NICHOLAS SITRO (PSY.D.)

  • 150 OTROBANDO AVE

    NORWICH, CT 063602116

    Phone: (860) 889-7274

    Fax: (860) 889-2131

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230920001956IClinical PsychologistCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

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

Insurance plans in this area (ZIP 06360)

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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: 9638494446View full group profile
NameSpecialtyState
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistMI
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistMA
Clinical PsychologistCT
Clinical PsychologistCT
Clinical PsychologistCT

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICHOLAS SITRO (PSY.D.)?
NICHOLAS SITRO (PSY.D.) — NPI 1083490304 — is the standard way to identify this listing.
Does CMS list NICHOLAS SITRO (PSY.D.) as active?
Yes — NICHOLAS SITRO (PSY.D.) is active in the NPI listing used on this page.
What taxonomy line describes NICHOLAS SITRO (PSY.D.)?
For research purposes, treat NICHOLAS SITRO (PSY.D.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for NICHOLAS SITRO (PSY.D.)?
NICHOLAS SITRO (PSY.D.)'s geographic hint is Norwich, Connecticut in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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