Active NPI
John Kemp, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Norwich, CT
National Provider Identifier
1053967463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 8342
- Practice address
- 2 Cliff St
Norwich, CT 06360-5850 - Phone
- (860) 887-6536
- Fax
- (860) 823-3856
- NPI assigned
- Aug 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8342 | CT | Primary |
Addresses
Primary practice location
2 Cliff St
Norwich, CT 06360-5850
Mailing address
49 Scott Hill Rd
Bozrah, CT 06334-1210
Phone (860) 334-8030
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47 Town St
Norwich, CT 06360-2323
Phone (860) 892-7042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliance Health, Inc | Current | Accepting new patients | |
| United Community and Family Services, Inc. | Current | Accepting new patients | |
| United Community and Family Services, Inc. | Psychiatry | Current | Accepting new patients |
| Optum Behavioral Care of Connecticut, P.C. | Past | Accepting new patients | |
| Reliance Health, Inc | Past | Accepting new patients |
Locations
70 Main St
Jewett City, CT 06351
Phone (860) 376-7040
47 Town St
Norwich, CT 06360
2 Cliff St
Norwich, CT 06360
Phone (860) 887-1755
40 Broadway
Norwich, CT 06360
Phone (860) 887-6536
Interoperability endpoints
- jkemp759651@direct.ochin.org
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Norwich, CT
- NPI 1467482539
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwich, CT
- NPI 1578855508
-
- Federally Qualified Health Center (FQHC)
- Norwich, CT
- NPI 1558366757
Psychiatry
-
- Counseling Psychologist
- Norwich, CT
- NPI 1922870955
-
- Case Management Agency
- Norwich, CT
- NPI 1518198597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1053967463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 SCOTT HILL RD",
"city": "BOZRAH",
"state": "CT",
"postal_code": "063341210",
"telephone_number": "860-334-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CLIFF ST",
"city": "NORWICH",
"state": "CT",
"postal_code": "063605850",
"telephone_number": "860-887-6536",
"fax_number": "860-823-3856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEMP",
"first_name": "JOHN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-12",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "8342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.