Active NPI
Sandra Ntreh, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- West Haven, CT
National Provider Identifier
1073065603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6788
- Practice address
- 115 Ardale St
West Haven, CT 06516-1834 - Phone
- (860) 796-5683
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- 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 | 6788 | CT | Primary |
Addresses
Primary practice location
115 Ardale St
West Haven, CT 06516-1834
Mailing address
PO Box 7720
Credentialing Specialist
New Haven, CT 06519
Phone (203) 503-3174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008069804 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6788 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570147200000",
"number": "1073065603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7720",
"address_2": "CREDENTIALING SPECIALIST",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06519",
"telephone_number": "203-503-3174",
"fax_number": "203-503-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ARDALE ST",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065161834",
"telephone_number": "860-796-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NTREH",
"first_name": "SANDRA",
"name_prefix": "Mrs.",
"credential": "APRN, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2019-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "6788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008069804",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.