Individual provider Active NPI

Claire Maxine Spencer, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1124880059
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12824 Issued in CT
Practice address
119C Griswold St Ste 211
Glastonbury, CT 06033-1099
Phone
(608) 338-8256
Fax
(860) 310-1901
NPI assigned
Jan 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12824 CT Primary

Addresses

Primary practice location

119C Griswold St Ste 211
Glastonbury, CT 06033-1099

Mailing address

843 Main St Ste 11
Manchester, CT 06040-6041
Phone (860) 643-8870

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12824CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored Hope Psychiatry PLLC Psychiatric/Mental Health CurrentSince May 4, 2025 Accepting new patients
Charter Oak Family Center LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

119C Griswold St
Ste 211
Glastonbury, CT 06033
Phone (608) 338-8256

843 Main St
Ste 11
Manchester, CT 06040
Phone (860) 305-6164

Organizations & group practices 2

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": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1124880059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MAIN ST STE 11",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406041",
            "telephone_number": "860-643-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119C GRISWOLD ST STE 211",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060331099",
            "telephone_number": "608-338-8256",
            "fax_number": "860-310-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CLAIRE",
        "middle_name": "MAXINE",
        "name_prefix": "Mrs.",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.