Organization Active NPI

Hope Behavioral Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomfield, CT
National Provider Identifier
1245055383
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOPE BEHAVIORAL WELLNESS LLC
Practice address
1 Bestor LN
Bloomfield, CT 06002-2485
Phone
(860) 847-0035
Fax
(866) 781-4443
NPI assigned
Nov 21, 2024
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Mrs. Dorrett Yvette Black, APRNNPI 1447010780
Title
Pmhnp
Phone
(860) 221-8068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1 Bestor LN
Bloomfield, CT 06002-2485

Mailing address

1 Bestor LN Ste 208
Bloomfield, CT 06002-2485
Phone (860) 847-0035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250508001865 CT Part B Supplier - Clinic/Group Practice 4284151648 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield, CT

National Provider Directory

National Provider Directory

Locations

1 Bestor Ln
Ste 208
Bloomfield, CT 06002

1 Bestor Ln
Ste 7
Bloomfield, CT 06002
Phone (860) 281-2462

Practitioners & affiliated clinicians

Practitioners 1

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": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1245055383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BESTOR LN STE 208",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022485",
            "telephone_number": "860-847-0035",
            "fax_number": "866-781-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BESTOR LN",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022485",
            "telephone_number": "860-847-0035",
            "fax_number": "866-781-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE BEHAVIORAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DORRETT",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "860-221-8068",
        "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": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.