Tallawah Mental Health Associates PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TALLAWAH MENTAL HEALTH ASSOCIATES PLLC

Practice address

701 Cottage Grove Rd Ste D235
Bloomfield, CT 06002-3080

Phone

(860) 578-8013

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Zoey Kamara Walker, APRNNPI 1841761731

Title

Owner

Phone

(860) 578-8013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zoey Walker

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hartford, CT
  • NPI 1841761731
  Medicare reassignment Care Compare group NPD Authorized official
• Sonya Harris, APRN, FNP-BC

  • Family Nurse Practitioner
  • Hartford, CT
  • NPI 1417416041
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043978968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-216-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE D235",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023080",
            "telephone_number": "860-578-8013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Tamarack Ave",
            "address_purpose": "LOCATION",
            "city": "South Windsor",
            "state": "CT",
            "postal_code": "060745562",
            "country_code": "US",
            "telephone_number": "860-216-2007",
            "fax_number": "860-321-8923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TALLAWAH MENTAL HEALTH ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "ZOEY",
        "authorized_official_middle_name": "KAMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-578-8013",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Sutliff, COTA
• Eileen A Sytnyk, CRNP
• Ronald Szabo, MD
• Valerie H Taff, RPT
• Talk Therapy LLC
• Barbara J Tarkin, PH.D.
• Gregory Warwick Taylor, MD
• Kimberly Teahan
• Robin C Tedesco, PA-C
• Jessica M Temple, PA-C

• Nurse Practitioner in Bloomfield, CT
• Providers in Bloomfield, CT by specialty
• Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.