Active NPI
Thallo Mental Health & Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- West Suffield, CT
National Provider Identifier
1033030846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- THALLO MENTAL HEALTH & WELLNESS LLC
- Practice address
- 1036 Ratley Rd
West Suffield, CT 06093-2411 - Phone
- (860) 508-5306
- NPI assigned
- Jul 25, 2026
- 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
- Carrie Fijal
- Title
- Nurse Practitioner
- Phone
- (860) 508-5306
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1036 Ratley Rd
West Suffield, CT 06093-2411
Mailing address
1036 Ratley Rd
West Suffield, CT 06093-2411
Phone (860) 508-5306
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1033030846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 RATLEY RD",
"city": "WEST SUFFIELD",
"state": "CT",
"postal_code": "060932411",
"telephone_number": "860-508-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1036 RATLEY RD",
"city": "WEST SUFFIELD",
"state": "CT",
"postal_code": "060932411",
"telephone_number": "860-508-5306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THALLO MENTAL HEALTH & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-25",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "FIJAL",
"authorized_official_first_name": "CARRIE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "860-508-5306"
},
"taxonomies": [
{
"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": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Suffield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.