Organization Active NPI

Teryn Andy Aprn LLC

Doing business as Sacred Space Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1215485537
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TERYN ANDY APRN LLC
Doing business as
Sacred Space Psychiatry
Practice address
903 Main Street
Manchester, CT 06040
Phone
(860) 798-8158
Fax
(855) 867-7006
NPI assigned
Sep 15, 2016
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Mrs. Teryn Andy, APRNNPI 1235509670
Title
Owner/Psychiatric Nurse Practitione
Phone
(860) 798-8158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

903 Main Street
Manchester, CT 06040

Mailing address

903 Main Street
Manchester, CT 06040
Phone (860) 798-8158

Other names 1

  • Sacred Space Psychiatry Doing business as

National Provider Directory

National Provider Directory

Locations

903 Main St
Manchester, CT 06040
Phone (860) 854-4733

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1215485537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 MAIN STREET",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-798-8158",
            "fax_number": "855-867-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MAIN STREET",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-798-8158",
            "fax_number": "855-867-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERYN ANDY APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "ANDY",
        "authorized_official_first_name": "TERYN",
        "authorized_official_title_or_position": "OWNER/PSYCHIATRIC NURSE PRACTITIONE",
        "authorized_official_telephone_number": "860-798-8158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Space Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.