Active NPI
Pursuecare Connecticut PC
- Psychiatry Physician
- Middletown, CT
National Provider Identifier
1003443185
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
- Last updated
- Jul 18, 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
National Provider Directory
National Provider DirectoryLocations
101 Centerpoint Dr
Ste 221
Middletown, CT 06457
401 N 17th St
Ste 308
Allentown, PA 18104
Phone (610) 434-2776
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Middletown, CT
- NPI 1154875359
-
- Family Nurse Practitioner
- Smithfield, KY
- NPI 1639347594
CT, Multi-Specialty
-
- Addiction Medicine (Preventive Medicine) Physician
- Hilliard, OH
- NPI 1063867398
PA
-
- Addiction (Substance Use Disorder) Counselor
- Paintsville, KY
- NPI 1083006340
CT, MA
-
- Addiction Medicine (Family Medicine) Physician
- Seymour, TN
- NPI 1295056281
PA
-
- Addiction Medicine (Family Medicine) Physician
- West Chester, PA
- NPI 1306864947
CT
-
- Psychiatric/Mental Health Nurse Practitioner
- Murfreesboro, TN
- NPI 1053517946
Adult Health, CT, MA, PA
-
- Mental Health Counselor
- Beavercreek, OH
- NPI 1295909851
CT, Professional
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.