Inspiration Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INSPIRATION PSYCHIATRY PLLC

Practice address

66 Cedar St Ste 204
Newington, CT 06111-2655

Phone

(866) 333-9758

Fax

(866) 299-1960

NPI assigned

Jun 19, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeong Mi Pak

Title

Owner

Phone

(702) 721-3541

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1003591801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 204",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112655",
            "telephone_number": "866-333-9758",
            "fax_number": "866-299-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CEDAR ST STE 204",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112655",
            "telephone_number": "866-333-9758",
            "fax_number": "866-299-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRATION PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "MI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-721-3541"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1174097331",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Newington, CT
• Providers in Newington, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.