Individual provider Active NPI

Patricia S Masopust, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Willimantic, CT
National Provider Identifier
1033217237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
000932 Issued in CT
Practice address
132 Mansfield Ave
United Services
Willimantic, CT 06226-2027
Phone
(860) 456-2261
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 000932 CT Primary

Addresses

Primary practice location

132 Mansfield Ave
United Services
Willimantic, CT 06226-2027

Mailing address

PO Box 231
21 Plains Road
Windham, CT 06280-0231
Phone (860) 456-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000932CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Connecticut Past Accepting new patients
State of Connecticut PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033217237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231",
            "address_2": "21 PLAINS ROAD",
            "city": "WINDHAM",
            "state": "CT",
            "postal_code": "062800231",
            "telephone_number": "860-456-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 MANSFIELD AVE",
            "address_2": "UNITED SERVICES",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262027",
            "telephone_number": "860-456-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOPUST",
        "first_name": "PATRICIA",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willimantic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.