Individual provider Active NPI

Jessica Listorti, PMHNP

  • Psychiatry Physician
  • Bloomfield, CT
National Provider Identifier
1275177404
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
8524 Issued in CT
Practice address
693 Bloomfield Ave Ste 101
Bloomfield, CT 06002-2489
Phone
(860) 697-3372
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 8524 CT Primary

Addresses

Primary practice location

693 Bloomfield Ave Ste 101
Bloomfield, CT 06002-2489

Mailing address

PO Box 303
Norfolk, CT 06058-0303
Phone (860) 307-3974

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200326002881 CT Practitioner - Nurse Practitioner 7012346067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCall Foundation, Inc. 12 clinicians

Practice addresses (Care Compare)

58 High St
Torrington, CT 06790-5106
Phone (860) 496-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Hills Youth and Family Services Inc. CurrentSince Aug 1, 2021 Accepting new patients
McCall Foundation Inc. CurrentSince Jan 29, 2020 Accepting new patients
McCall Foundation, Inc. CurrentSince Jan 29, 2020 Accepting new patients
Interface Center Inc PastSince Jul 1, 2015 Accepting new patients

Locations

36 Main St
New Milford, CT 06776
Phone (203) 415-8066

20 Main St
#8
Oakville, CT 06779
Phone (203) 415-8066

58 High St
Torrington, CT 06790
Phone (860) 496-2107

969 W Main St
Ste 2D
Waterbury, CT 06708
Phone (203) 573-8555

Interoperability endpoints

  • Direct secure messaging: jessica.listorti.p1@direct.mccallbhn.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1275177404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "NORFOLK",
            "state": "CT",
            "postal_code": "060580303",
            "telephone_number": "860-307-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 BLOOMFIELD AVE STE 101",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022489",
            "telephone_number": "860-697-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTORTI",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "8524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.