Integrated Behavioral Health PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4747 Issued in CT

Legal business name

INTEGRATED BEHAVIORAL HEALTH PC

Practice address

80 Shunpike Rd Ste 101-B2
Cromwell, CT 06416-4401

Phone

(860) 424-6042

NPI assigned

Jul 13, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Nwigwe, DNP, PMHNP-BC, APRNNPI 1396024725

Title

Aprn, Owner

Phone

(860) 424-6042

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Michelle Nwigwe, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cromwell, CT
  • NPI 1396024725
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1104302033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SHUNPIKE RD STE 101-B2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164401",
            "telephone_number": "860-424-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SHUNPIKE RD STE 101-B2",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064164401",
            "telephone_number": "860-424-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-13",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "NWIGWE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "APRN, OWNER",
        "authorized_official_telephone_number": "860-424-6042",
        "authorized_official_credential": "DNP, PMHNP-BC, APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "4747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4747",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Libby Huerta
• Rachel Hume, LMSW
• Leandra Hylton, OTR/L
• Julie Iannicelli, MS, ATC
• Inner Wellness Counseling Group, LLC
• Intuitive Hands of New England LLC
• Schuyler Ivey
• Julianna Elizabeth Jaciow, OTR/L
• Leah Jackson
• Mary Elizabeth Jackson

• Psychiatric/Mental Health Nurse Practitioner in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2019; 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.