Active NPI
Diane M Bray, APRN, BC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Hartford, CT
National Provider Identifier
1073552865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 000772
- Practice address
- 664 Prospect Ave
Hartford, CT 06105-4203 - Phone
- (860) 236-8087
- Fax
- (860) 586-7422
- NPI assigned
- Jun 6, 2006
- 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 Clinical Nurse Specialist | 364SP0808X | 000772 | CT | Primary |
Addresses
Primary practice location
664 Prospect Ave
Hartford, CT 06105-4203
Mailing address
554 Niles Rd
New Hartford, CT 06057-2412
Phone (860) 379-7154
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4556305 | Other | CT | AETNA |
| P1935240 | Other | CT | OXFORD |
| 188780 | Other | CT | MHN |
| 400000772-CT02 | Other | CT | BLUE CROSS/ BLUE SHIELD |
| 134533 | Other | CT | VALUE OPTIONS |
| 400000772-CT01 | Other | CT | BLUE CROSS/ BLUE SHIELD |
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 |
|---|---|---|---|
| 000772 | CT | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073552865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 NILES RD",
"city": "NEW HARTFORD",
"state": "CT",
"postal_code": "060572412",
"telephone_number": "860-379-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "664 PROSPECT AVE",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061054203",
"telephone_number": "860-236-8087",
"fax_number": "860-586-7422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAY",
"first_name": "DIANE",
"middle_name": "M",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "CT",
"license": "000772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4556305",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P1935240",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "188780",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "400000772-CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "134533",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "400000772-CT01",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.