Advanced Mental Health Associates PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ADVANCED MENTAL HEALTH ASSOCIATES PLLC

Practice address

80 Old Ridgefield Rd
Wilton, CT 06897-3012

Phone

(203) 632-0617

Fax

(203) 312-1931

NPI assigned

Dec 8, 2023

Last updated

Dec 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan DalyNPI 1205418498

Title

Owner

Phone

(203) 632-0617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Daly, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilton, CT
  • NPI 1205418498
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1093582066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973012",
            "telephone_number": "203-632-0617",
            "fax_number": "203-312-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OLD RIDGEFIELD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973012",
            "telephone_number": "203-632-0617",
            "fax_number": "203-312-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MENTAL HEALTH ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "DALY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-632-0617"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Vandiveer Strait Jr
• A-Group Imaging LLC
• Sheirleen Abrau, PT
• Nathaniel Gale Acord, COTA
• Erin McCann Adams, PT
• Olufemi Afuape
• Amy D. Agoglia, M.D.
• Dominick Peter Agostin, D.D.S.
• Mahmoud Alghamri
• Jean-Marc Alling, O.D.

• Adult Mental Health Clinic/Center in Wilton, CT
• Providers in Wilton, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.