Eric Beck
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Storrs, CT
NPI 1235534843 · NPPES record last updated Nov 26, 2019
Key facts
- NPI
- 1235534843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5945 (CT)
- Practice address
- 337 Mansfield Rd Unit 1255
Storrs, CT 06269-3309 - Phone
- (860) 486-4705
- Fax
- (860) 486-9159
- NPI assigned
- Oct 24, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brightside Medical PC
State of Connecticut
Practice addresses (Care Compare)
2299 Summer St
Suite 1068
Stamford, CT 06905-4502
Phone (415) 360-3348
401 W Thames St
BLDG 301
Norwich, CT 06360-7155
Phone (860) 859-4500
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 |
|---|---|---|---|---|
| I20150501000291 | CT | Practitioner - Nurse Practitioner | 8729307459 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients | |
| State of Connecticut | Current |
Accepting new patients | |
| University of Connecticut Student Health and Wellness | Past |
Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
450 Columbus Blvd
Ste 1001
Hartford, CT 06103
401 W Thames St
Bldg 301
Norwich, CT 06360
Phone (860) 859-4500
2299 Summer St
Stamford, CT 06905
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5945 | CT | Yes |
Addresses
Primary practice location
337 Mansfield Rd Unit 1255
Storrs, CT 06269-3309
Mailing address
337 Mansfield Rd Unit 1255
Storrs, CT 06269-3309
Phone (860) 486-4705
Other providers in Storrs, CT
- Thomas Baran
- Megan Ashley Barry
- Kimberly A Barton
- Avrie Bassingthwaite
- Brian Patrick Batherson
- Avery Bernier
- Krista A Billard
- Ed Blair
- Catherine A Bochain
- Marisa Lynn Bogdonoff
All providers in Storrs, 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 26, 2019. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.