Individual provider Active NPI

Valencia Emile

  • Psychiatric/Mental Health Nurse Practitioner
  • Norwalk, CT
National Provider Identifier
1063191005
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12010 Issued in CT
Practice address
17 High St
Norwalk, CT 06851-4723
Phone
(000) 000-0000
Fax
(833) 470-0750
NPI assigned
Jul 17, 2023
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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 12010 CT Primary

Addresses

Primary practice location

17 High St
Norwalk, CT 06851-4723

Mailing address

17 High St
Norwalk, CT 06851-4723

Other practice location 1

47 Long Lots Rd
Westport, CT 06880-3828
Phone (203) 227-1251

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
I20250715003733 CT Practitioner - Nurse Practitioner 3375987811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

47 Long Lots Rd
Westport, CT 06880-3828
Phone (203) 227-1251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Apr 20, 2025 Accepting new patients
Calm Perspective PLLC Psychiatric/Mental Health Current Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

47 Long Lots Rd
Westport, CT 06880
Phone (203) 221-8801

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1063191005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 HIGH ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 HIGH ST",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514723",
            "telephone_number": "000-000-0000",
            "fax_number": "833-470-0750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 Long Lots Rd",
            "address_purpose": "LOCATION",
            "city": "Westport",
            "state": "CT",
            "postal_code": "068803828",
            "country_code": "US",
            "telephone_number": "203-227-1251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMILE",
        "first_name": "VALENCIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

Verify at the official NPI Registry.