IndividualActive
Grizelle Medina-Diaz
NPI 1164179677 · Art Therapist · Watertown, CT
Provider details
- NPI number
- 1164179677
- Entity type
- Individual
- Primary specialty
- Art TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
680 Main St Ste 305
Watertown, CT 06795-2656
Phone: (203) 707-8962
Street-level locationGet directions
Mailing address
118 Hart St Apt 1w
New Britain, CT 06052-2105
Registry dates
- Enumerated
- 2022-03-04
- Last updated
- 2022-03-04
- Certified
- 2022-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.