Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danil Anisimov

Individual provider Family Nurse Practitioner · NPI 1114150984

Danil Anisimov is a Nurse Practitioner in Old Saybrook, Connecticut. Qualified in 2009, 17 years ago. Practices with Connecticut Mental Health Specialists Inc, a 66-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
17
Licensed in
CT
In the registry since
2009
Specialties on file
2

Practice location Address checks out

20 Research Pkwy
Old Saybrook, CT 06475-4214
Phone: (800) 370-3651
Fax: (860) 510-0020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4165 (CT)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 4165 (CT)

Record details

NPI number1114150984
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 27, 2009
Last updated in NPPESApril 28, 2017
Mailing address31 Richards Grove Rd, Quaker Hill, CT 06375-1524

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Connecticut Mental Health Specialists Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Old Saybrook