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

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