Healthcare Provider Details

I. General information

NPI: 1215845482
Provider Name (Legal Business Name): JON CATURIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 MIDDLE ST
BRISTOL CT
06010-7404
US

IV. Provider business mailing address

152 VANCE ST
NEW BRITAIN CT
06052-1635
US

V. Phone/Fax

Practice location:
  • Phone: 860-281-2280
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number7501
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: