Connecticut Center for Psychiatric Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CONNECTICUT CENTER FOR PSYCHIATRIC WELLNESS LLC

Practice address

136 Sherman Avenue
New Haven, CT 06511-5238

Phone

(203) 565-5104

Fax

(860) 826-4762

NPI assigned

Sep 6, 2023

Last updated

Nov 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric W. Voide

Title

Ceo

Phone

(203) 565-5104

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 8

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.

• George J Costanzo, D.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Southington, CT
  • NPI 1467401802
  Medicare reassignment Care Compare group NPD
• Maryfrances Lanosa Desteno, APRN

  • Nurse Practitioner
  • Greenwich, CT
  • NPI 1922374354
  Medicare reassignment Care Compare group NPD
• Deborah Ann Ellison, APRN

  • Family Nurse Practitioner
  • Shelton, CT
  • NPI 1356508691
  Medicare reassignment Care Compare group NPD
• Marta Sarzynski, APRN

  • Family Nurse Practitioner
  • Norwalk, CT
  • NPI 1134753080
  Medicare reassignment Care Compare group NPD
• Shutish Chandra Patel, MD

  • Neurology Physician
  • New Britain, CT
  • NPI 1447273511
  Medicare reassignment NPD
• Lawrencia Afua Addo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Frederick, MD
  • NPI 1285928713

  CT

  Medicare reassignment NPD
• Laura Elizabeth Gabriel, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fiskdale, MA
  • NPI 1003388919

  CT

  Medicare reassignment NPD
• Ann Marie Julian, CRNA

  • Family Nurse Practitioner
  • New Haven, CT
  • NPI 1336156876
  NPD

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1245016005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MACINTOSH WAY",
            "address_2": "C/O ERIC W. VOIDE",
            "city": "SOUTHINGTON,",
            "state": "CT",
            "postal_code": "064892055",
            "telephone_number": "203-565-5104",
            "fax_number": "860-826-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SHERMAN AVENUE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115238",
            "telephone_number": "203-565-5104",
            "fax_number": "860-826-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT CENTER FOR PSYCHIATRIC WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "VOIDE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-565-5104"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Christopher Cone, MD
• Giulia Conley, PHARMD, BCPS
• Julie Anne Conley, M.S.
• Molly Conley, M.S.
• Frederick T. Conlin, MD
• Connecticut Children & Family Ctr. Inc
• Connecticut Children and Family Center
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy #11007)
• Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy #00811)
• Connecticut Em-1 Medical Services, PC

• Family Nurse Practitioner in New Haven, CT
• Providers in New Haven, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.