Healthcare Provider Details
I. General information
NPI: 1871669143
Provider Name (Legal Business Name): DANYELLE L CAETI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/28/2006
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1030 PRESIDENT AVE SUITE 2001
FALL RIVER MA
02720-5923
US
IV. Provider business mailing address
1030 PRESIDENT AVE SUITE 2001
FALL RIVER MA
02720-5923
US
V. Phone/Fax
- Phone: 508-679-6833
- Fax: 508-678-2200
- Phone: 508-679-6833
- Fax: 508-678-2200
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 042146 |
| License Number State | CT |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 001421461 |
| Identifier Type | MEDICAID |
| Identifier State | CT |
| Identifier Issuer | |
| # 2 | |
| Identifier | 06-0873781 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | CIGNA |
| # 3 | |
| Identifier | 06-0873781 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | GREAT WEST |
| # 4 | |
| Identifier | 06-0873781 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | HUMANA CHOICECARE |
| # 5 | |
| Identifier | 3448371 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | AETNA |
| # 6 | |
| Identifier | 042146 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | CONNECTICARE |
| # 7 | |
| Identifier | 06-0873781 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | PHCS |
| # 8 | |
| Identifier | 06-0873781 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | UNITED |
| # 9 | |
| Identifier | 06-0873781 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | NORTHEAST HEALTHCARE ALLI |
| # 10 | |
| Identifier | 010042146CT02 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | BLUE CROSS-DARIEN |
| # 11 | |
| Identifier | 11208863 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | CAQH |
| # 12 | |
| Identifier | P3170347 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | OXFORD |
| # 13 | |
| Identifier | 2V4895 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | HEALTHNET |
| # 14 | |
| Identifier | 010042146CT01 |
| Identifier Type | OTHER |
| Identifier State | CT |
| Identifier Issuer | BLUE CROSS-STAMFORD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
