Naya D Agodoa, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Durham, CT
NPI 1043793565 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1043793565
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 7843 (CT)
- Practice address
- 48 Patterson LN
Durham, CT 06422-2418 - Phone
- (301) 300-4441
- NPI assigned
- Sep 11, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240205001436 | CT | Practitioner - Nurse Practitioner | 8426491606 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center Inc | Current |
Accepting new patients | |
| Community Health Center Inc | Current |
Accepting new patients |
Locations
19 Grand St
Middletown, CT 06457
Phone (860) 323-0172
141 Franklin St
Stamford, CT 06901
Phone (203) 602-4441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7843 | CT | Yes |
Addresses
Primary practice location
48 Patterson LN
Durham, CT 06422-2418
Mailing address
48 Patterson LN
Durham, CT 06422-2418
Phone (301) 300-4441
Other providers in Durham, CT
All providers in Durham, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.