DR. MARK A NADOLSKI – Psychologist, NPI 1851607030

DR. MARK A NADOLSKI is a healthcare provider. based in Madison, Connecticut. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 003588 (CT). The NPI Number for DR. MARK A NADOLSKI is 1851607030

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK A NADOLSKI
NPI
1851607030
Phone
(203) 245-0412
Address
86 BRADLEY RD
Enumeration Date
25 August 2010
Last Update Date
9 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2032450412
Graduation Year
2014 (12 years ago)
PAC ID
7113205832
Group Practice PAC ID
0749681070
Professional Enrollment ID
I20161101001679
Address ID
CT064432644MA86XXXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

586 CLINICAL PSYCHOLOGIST in CT

Provider Addresses for DR. MARK A NADOLSKI

  • 86 BRADLEY RD

    MADISON, CT 064432644

    Phone: (203) 245-0412

    Type: Mailing

  • 7 WALL ST

    MADISON, CT 06443

    Phone: (203) 245-0412

    Type: Mailing

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: 2016-11-01

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
I20161101001679IClinical 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 06443)

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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: 0749681070View full group profile
NameSpecialtyState
Clinical Social WorkerCT
Mental Health CounselorCT
Nurse PractitionerCT
Mental Health CounselorCT
Nurse PractitionerCT
Nurse PractitionerCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MARK A NADOLSKI?
NPI 1851607030 is assigned to DR. MARK A NADOLSKI under the national enumeration system.
Is DR. MARK A NADOLSKI currently active in the NPI registry?
CMS-published data lists DR. MARK A NADOLSKI as an active registrant.
What does DR. MARK A NADOLSKI treat or focus on?
Patients typically see DR. MARK A NADOLSKI under the specialty Psychologist. Clinical services aligned with this taxonomy classification.
What location shows for DR. MARK A NADOLSKI?
We surface Madison, Connecticut for DR. MARK A NADOLSKI based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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