Individual provider Active NPI

Lisa Tiffany Simiola, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Britain, CT
National Provider Identifier
1033005418
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025030091 Issued in CT
Practice address
73 Cedar St
New Britain, CT 06052-1301
Phone
(860) 224-5267
NPI assigned
Jun 13, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025030091 CT Primary

Addresses

Primary practice location

73 Cedar St
New Britain, CT 06052-1301

Mailing address

41 Sterling Hill Rd
Lyme, CT 06371-3304
Phone (860) 575-6478

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
I20250813003203 CT Practitioner - Nurse Practitioner 2466950886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

73 Cedar St
New Britain, CT 06052-1301
Phone (860) 224-5267

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025030091CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midstate Medical Center Current Accepting new patients
Midstate Medical Center CurrentSince Aug 15, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Aug 15, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Aug 15, 2025 Accepting new patients
Midstate Medical Center CurrentSince Aug 15, 2025 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients

Locations

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

73 Cedar St
New Britain, CT 06052
Phone (860) 224-5267

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1033005418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 STERLING HILL RD",
            "city": "LYME",
            "state": "CT",
            "postal_code": "063713304",
            "telephone_number": "860-575-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 CEDAR ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521301",
            "telephone_number": "860-224-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMIOLA",
        "first_name": "LISA",
        "middle_name": "TIFFANY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "2025030091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

Verify at the official NPI Registry.