MEDICARE: JANAE MARY STALTARO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1518821719
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANAE MARY STALTARO

Provider Business Mailing Address
First Line	:	200 BROAD ST APT 2210
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06901-2070
Country	:	US
Telephone Number	:	203-545-2536
Fax Number	:

Provider Business Practice Location Address
First Line	:	6515 MAIN ST STE 6
Second Line	:
City	:	TRUMBULL
State	:	CT
Zip	:	06611-1388
Country	:	US
Telephone Number	:	203-564-9285
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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Directions to “ JANAE MARY STALTARO ” Practice Location

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