Recovery and Health Source LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

004864 Issued in CT

Legal business name

RECOVERY AND HEALTH SOURCE LLC

Practice address

143 Hoyt St
4B
Stamford, CT 06905-5759

Phone

(203) 918-8557

Fax

(203) 517-9780

NPI assigned

Feb 3, 2012

Organization subpart

No

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

Authorized official

Name

Charlene W Milkey, APRNNPI 1528337953

Title

Owner

Phone

(203) 305-5165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene Winkelman Milkey, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Stamford, CT
  • NPI 1528337953
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1265704357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 HOYT ST",
            "address_2": "4B",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055759",
            "telephone_number": "203-918-8557",
            "fax_number": "203-517-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 HOYT ST",
            "address_2": "4B",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055759",
            "telephone_number": "203-918-8557",
            "fax_number": "203-517-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY AND HEALTH SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "MILKEY",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-305-5165",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "004864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle F Reardon, NP
• Rebekah Kanefsky LPC LLC
• Rebekah Kanefsky, LPC, LLC
• Recalibrate and Restore PT
• Elliot Musto Recchia
• Recovery Network of Programs, Inc
• Vanessa Reda
• Refocus Surgical Services LLC
• Reforming Rehab Corp
• David Regelmann, MD

• 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 Feb 3, 2012; 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.