Individual provider Active NPI

Verona Sonia Gordon

  • Psychiatric/Mental Health Nurse Practitioner
  • Wethersfield, CT
National Provider Identifier
1164957809
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6975 Issued in CT
Practice address
185 Silas Deane Hwy Ste 3
Wethersfield, CT 06109-1219
Phone
(475) 273-9251
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6975 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6975 CT Primary

Addresses

Primary practice location

185 Silas Deane Hwy Ste 3
Wethersfield, CT 06109-1219

Mailing address

185 Silas Deane Hwy
Wethersfield, CT 06109-1219
Phone (475) 273-9251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170605001940 CT Practitioner - Nurse Practitioner 9234406711 Reassigns benefits to 6 organizations
I20180227001559 NY Practitioner - Nurse Practitioner 9234406711 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6975CTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 20, 2024 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 6, 2018 Accepting new patients
Gordon Health Services Psychiatric/Mental Health Current Accepting new patients
Harvest Healthcare LLC CurrentSince Aug 7, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 6, 2018 Accepting new patients
Vista Behavioral Health, LLC CurrentSince Apr 17, 2017 Accepting new patients
Impact Health P.C. Family CurrentSince Jul 22, 2020 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jan 6, 2018 Accepting new patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Sep 16, 2018 Accepting new patients

Locations

21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182

136 Simsbury Rd
#12H
Avon, CT 06001
Phone (860) 269-3101

1 Glen Hill Rd
Danbury, CT 06811
Phone (203) 744-2840

1165 King St
Greenwich, CT 06831
Phone (203) 531-1335

100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

40 Albert St
New Haven, CT 06511
Phone (203) 865-0068

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

185 Silas Deane Hwy
Ste 3
Wethersfield, CT 06109
Phone (860) 608-8081

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 10

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1164957809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091219",
            "telephone_number": "475-273-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 SILAS DEANE HWY STE 3",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091219",
            "telephone_number": "475-273-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "VERONA",
        "middle_name": "SONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6975",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "6975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

Verify at the official NPI Registry.