Individual provider Active NPI

Susan Marie Brown, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Hamden, CT
National Provider Identifier
1013999028
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
001395 Issued in CT
Practice address
95 Circular Ave
Hamden, CT 06514-4004
Phone
(203) 288-6253
Fax
(203) 288-0948
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 001395 CT Primary

Addresses

Primary practice location

95 Circular Ave
Hamden, CT 06514-4004

Mailing address

PO Box 9805
New Haven, CT 06536-0805

Other identifiers 1

IdentifierTypeStateIssuer
004167715MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070306000440 CT Practitioner - Certified Clinical Nurse Specialist (CNS) 8123121506 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Health Initiative Corp.Group PAC ID 1759641038, 11 clinicians

Practice addresses (Care Compare)

2200 Whitney Ave
Suite 290
Hamden, CT 06518-3695
Phone (203) 903-8308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Health Initiative Corp. CurrentSince Nov 6, 2023 Accepting new patients
Yale University CurrentSince Oct 1, 2001 Accepting new patients
Yale University CurrentSince Oct 1, 2001 Accepting new patients
Anchor Health Initiative Corp. CurrentSince Nov 6, 2023 Accepting new patients
The Connection Inc. Past Accepting new patients

Locations

95 Circular Ave
Hamden, CT 06514
Phone (203) 288-6253

2200 Whitney Ave
Ste 290
Hamden, CT 06518
Phone (203) 407-8080

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

30 Myano Ln
Ste 16
Stamford, CT 06902
Phone (203) 674-1102

Interoperability endpoints

  • Direct secure messaging: sbrown9967@direct.ynhh.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1013999028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9805",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065360805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 CIRCULAR AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144004",
            "telephone_number": "203-288-6253",
            "fax_number": "203-288-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "001395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004167715",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.