Jessica Colello

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12643 Issued in CT

Practice address

986 Bedford St
Stamford, CT 06905-5610

Phone

(203) 324-3167

Fax

(203) 517-1093

NPI assigned

Dec 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Centers Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwich, CT
  • NPI 1265477780
  Medicare reassignment NPD
• Family Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Stamford, CT
  • NPI 1841750122
  NPD
• Family Centers Inc.

  • Multi-Specialty Clinic/Center
  • Greenwich, CT
  • NPI 1235588625
  NPD

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1245009786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 BEDFORD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055610",
            "telephone_number": "203-324-3167",
            "fax_number": "203-517-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 BEDFORD ST",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055610",
            "telephone_number": "203-324-3167",
            "fax_number": "203-517-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLELLO",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Stuart Cohen, MD
• Talya Anne Cohen, PSY.D.
• Alyssa Colarusso, OT
• Margaret M Cole, APRN
• Scott A. Cole, M.D.
• Leslie Ruth Coleman, MD
• Rebeca Maria Collado, RDH
• Caitlin Collette
• Valentina Colletti, PA-C
• Bethany Colley

• Psychiatric/Mental Health Nurse Practitioner in Stamford, CT
• Providers in Stamford, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.