Individual provider Active NPI

Nicole Maletta

  • Psychiatric/Mental Health Nurse Practitioner
  • New Haven, CT
National Provider Identifier
1104265149
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5421 Issued in CT
Practice address
184 Liberty St
New Haven, CT 06519-1625
Phone
(203) 688-9711
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 104299 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5421 CT Primary

Addresses

Primary practice location

184 Liberty St
New Haven, CT 06519-1625

Mailing address

13 Hemlock CT
Durham, CT 06422-1405
Phone (860) 543-1969

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
I20131028001102 CT Practitioner - Nurse Practitioner 1254566300 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians
Hartford DispensaryGroup PAC ID 4789010984, 11 clinicians

Practice addresses (Care Compare)

20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242

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

520 Saybrook Rd
Suite 105
Middletown, CT 06457-4700
Phone (860) 740-8132

800 Howard Ave
New Haven, CT 06519-1369
Phone (203) 785-2140

Merit-based Incentive Payment System (MIPS)

Final score
87.36 of 100Reported as group
Quality
77.36
Promoting interoperability
100
Improvement activities
40
Cost
74.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5421CTMDGeneral Practice Dentistry
104299CTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Dec 15, 2025 Accepting new patients
Yale University Current Accepting new patients
Yale University CurrentSince Sep 1, 2013 Accepting new patients
Yale New Haven Hospital CurrentSince Mar 11, 2018 Accepting new patients
Hartford Dispensary CurrentSince Aug 22, 2025 Accepting new patients
Yale University CurrentSince Sep 1, 2013 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Dec 15, 2025 Accepting new patients

Locations

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

335 Broad St
Manchester, CT 06040
Phone (860) 643-3200

520 Saybrook Rd
Ste 105
Middletown, CT 06457
Phone (203) 314-0179

542 E Main St
New Britain, CT 06051
Phone (860) 827-3313

184 Liberty St
New Haven, CT 06519
Phone (203) 688-9704

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

20 York St
North Haven, CT 06510
Phone (203) 688-2433

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

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

Interoperability endpoints

  • Direct secure messaging: nmaletta75141@direct.ynhh.org
  • Direct secure messaging: nmaletta826481@direct.ochin.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1104265149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 HEMLOCK CT",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221405",
            "telephone_number": "860-543-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 LIBERTY ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191625",
            "telephone_number": "203-688-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALETTA",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "104299",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.