Individual provider Active NPI

Clarice Elizabeth Grens, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Haven, CT
National Provider Identifier
1053492678
Registry record updated Feb 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
002271 Issued in CT
Practice address
950 Campbell Ave
West Haven, CT 06516-2770
Phone
(203) 932-5711
NPI assigned
Oct 18, 2006
Last updated
Feb 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 002271 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 002271 CT Primary

Addresses

Primary practice location

950 Campbell Ave
West Haven, CT 06516-2770

Mailing address

56 Wedgewood Dr
Easton, CT 06612-2045
Phone (203) 952-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080416000007 CT Practitioner - Nurse Practitioner 4688752769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Safe Harbor Christian Counseling of Connecticut, LLCGroup PAC ID 4587951934, 4 clinicians
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

1 Sport Hill Rd
Easton, CT 06612-2226
Phone (410) 893-4600

5520 Park Ave
Trumbull, CT 06611-3463
Phone (203) 337-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
002271CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University CurrentSince Aug 8, 2023 Accepting new patients
Safe Harbor Christian Counseling of Connecticut, LLC CurrentSince Feb 1, 2025 Accepting new patients
Yale University CurrentSince Aug 8, 2023 Accepting new patients
Hematology Oncology PC PastSince Sep 13, 2020 Accepting new patients

Locations

1 Sport Hill Rd
Easton, CT 06612

324 Elm St
Ste 204B
Monroe, CT 06468
Phone (203) 260-8896

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

1 Hospital Plz
Stamford, CT 06902
Phone (203) 276-4925

5520 Park Ave
Trumbull, CT 06611
Phone (203) 334-7400

5520 Park Ave
#1200
Trumbull, CT 06611
Phone (203) 666-3750

950 Campbell Ave
West Haven, CT 06516

33 Center Rd
Woodbridge, CT 06525

1208 E Churchville Rd
Ste 300
Bel Air, MD 21014
Phone (410) 838-9500

Interoperability endpoints

  • Direct secure messaging: cgrens556408@direct.ynhh.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391904000000",
    "number": "1053492678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WEDGEWOOD DR",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066122045",
            "telephone_number": "203-952-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162770",
            "telephone_number": "203-932-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENS",
        "first_name": "CLARICE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002271",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "002271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.