Samantha Jade Moffett, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

225504 Issued in CT

Practice address

400 W Campus Dr
Orange, CT 06477-3646

Phone

(203) 737-2357

NPI assigned

May 22, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1779408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1033049796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 OSBORNE AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065167237",
            "telephone_number": "203-848-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CAMPUS DR",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773646",
            "telephone_number": "203-737-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "SAMANTHA",
        "middle_name": "JADE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-22",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "225504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mennillo, APRN
• MH Health Care Services, PC
• Milestones Behavioral Services, Inc.
• Fausto Minaya Correa
• Modern Dentistry of Orange
• Irshad G Mohammed, DDS
• Xiomara S Molina-Perez, MD
• Catherine Mollengarden, BCBA
• Lauren Mollengarden
• Ferdinand J Montegut, MD

• Psychiatric/Mental Health Nurse Practitioner in Orange, CT
• Providers in Orange, 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 Jul 15, 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.

Verify at the official NPI Registry.