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

Katherine Elizabeth Provaznik, DO

Individual provider Psychiatry Physician · NPI 1376002311

Katherine Elizabeth Provaznik, DO is a Psychiatry in Wethersfield, Connecticut. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2019, 7 years ago. Practices with Hartford Hospital, a 1,040-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and Wisconsin.

Years since qualifying
7
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
CT, WI
In the registry since
2019
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1260 Silas Deane Hwy Ste 101
Wethersfield, CT 06109-4363
Phone: (860) 545-7550
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 82532 (CT)
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X · Licence 82532 (CT)
Psychiatry Physician Taxonomy 2084P0800X · Licence 2974 (WI)

Record details

NPI number1376002311
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2019 (7 years in practice)
Group practice Hartford Hospital — 1040 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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