Thuraya Abdi, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Farmington, CT
NPI 1124272950 · NPPES record last updated Nov 6, 2008
Key facts
- NPI
- 1124272950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 003830 (CT)
- Practice address
- 270 Farmington Ave
Suite 309
Farmington, CT 06032-1909 - Phone
- (860) 677-5570
- Fax
- (860) 677-9570
- NPI assigned
- Nov 6, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081206000082 | CT | Practitioner - Nurse Practitioner | 0143381376 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003830 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Mental Health Specialists Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Impact Health Psych PC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Impact Health P.C. | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570
14 Westport Ave
Norwalk, CT 06851
Phone (203) 497-3867
240 Indian River Rd
Ste C
Orange, CT 06477
Phone (203) 497-3867
240 Indian River Rd
Ste C7
Orange, CT 06477
Phone (203) 497-3867
Interoperability endpoints
- thuraya.abdi.p1@direct.wheelerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 003830 | CT | Yes |
Addresses
Primary practice location
270 Farmington Ave
Suite 309
Farmington, CT 06032-1909
Mailing address
66 Lyman Rd
West Hartford, CT 06117-1311
Phone (860) 233-0864
Other providers in Farmington, CT
- Patricia Marie Abad
- Nour Abdallah
- Omar Fathy Abdelatey
- Samira Abdelrehim
- Reham Abdelsalam
- Ezzat Abdoun
- Arif Salman Abdul Shakore
- Lena Mohamed Abou Elatta
- Nour Aboumatar
- Lilyan Abraham
All providers in Farmington, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.