IndividualActive
John Antonucci
NPI 1508967951 · Addiction Medicine (Psychiatry & Neurology) Physician · Newington, CT
Provider details
- NPI number
- 1508967951
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 09502 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
555 Willard Ave
Newington, CT 06111-2631
Phone: (860) 677-6747
Street-level locationGet directions
Mailing address
11 Woodchuck Hill Rd
Canton, CT 06019-2132
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.