Active NPI
Pursuecare Connecticut PC
- Psychiatry Physician
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- PURSUECARE CONNECTICUT PC
- Practice address
- 101 Centerpoint Dr Ste 105
Middletown, CT 06457-7568 - Phone
- (860) 317-5251
- Fax
- (860) 469-2766
- NPI assigned
- Mar 26, 2020
- Reactivated
- May 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa King
- Title
- Authorized
- Phone
- (860) 322-6712
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Clinical Psychologist | 103TC0700X | |||
| Counseling Psychologist | 103TC1900X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Clinic/Center | 261Q00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | |||
| Acute Care Clinical Nurse Specialist | 364SA2100X |
Addresses
Primary practice location
101 Centerpoint Dr Ste 105
Middletown, CT 06457-7568
Mailing address
101 Centerpoint Dr Ste 105
Middletown, CT 06457-7568
Phone (860) 317-5251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, PA, MA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200519002517 | CT | Part B Supplier - Clinic/Group Practice | 8224469606 |
Receives reassigned benefits from 15 practitioners Practice locations: Middletown, CT |
| O20200616001212 | PA | Part B Supplier - Clinic/Group Practice | 8224469606 |
Receives reassigned benefits from 8 practitioners Practice locations: Allentown, PA; Bethlehem, PA; Harrisburg, PA |
| O20200618000968 | MA | Part B Supplier - Clinic/Group Practice | 8224469606 |
Receives reassigned benefits from 3 practitioners Practice locations: Boston, MA |
National Provider Directory
National Provider DirectoryLocations
101 Centerpoint Dr
Ste 221
Middletown, CT 06457
1000 White Horse Rd
Ste 502
Voorhees, NJ 08043
Phone (856) 627-9898
401 N 17th St
Ste 308
Allentown, PA 18104
Phone (610) 434-2776
35 E Elizabeth Ave
Ste 205
Bethlehem, PA 18018
Phone (610) 865-4228
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Smithfield, KY
- NPI 1639347594
CT, Multi-Specialty
-
- Addiction Medicine (Preventive Medicine) Physician
- Hilliard, OH
- NPI 1063867398
Addiction Medicine, PA
-
- Addiction (Substance Use Disorder) Counselor
- Paintsville, KY
- NPI 1083006340
Addiction (Substance Use Disorder), CT, MA
-
- Addiction Medicine (Family Medicine) Physician
- Seymour, TN
- NPI 1295056281
PA
-
- Addiction Medicine (Family Medicine) Physician
- West Chester, PA
- NPI 1306864947
CT, PA
-
- Psychiatric/Mental Health Nurse Practitioner
- Murfreesboro, TN
- NPI 1053517946
Adult Health, CT, MA, PA
-
- Mental Health Counselor
- Beavercreek, OH
- NPI 1295909851
CT, Professional
-
- Addiction Psychiatry Physician
- Johnson City, TN
- NPI 1467683300
CT, PA, Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689638400000",
"number": "1003443185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CENTERPOINT DR STE 105",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064577568",
"telephone_number": "860-317-5251",
"fax_number": "860-469-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CENTERPOINT DR STE 105",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064577568",
"telephone_number": "860-317-5251",
"fax_number": "860-469-2766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURSUECARE CONNECTICUT PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-26",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"deactivation_date": "2023-04-26",
"reactivation_date": "2023-05-16",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "AUTHORIZED",
"authorized_official_telephone_number": "860-322-6712"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.