Individual provider Active NPI

Mary Nta, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1285314443
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12112 Issued in CT
Practice address
226 Ridgefield Dr
Middletown, CT 06457-6513
Phone
(860) 997-1110
NPI assigned
Jul 24, 2023
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12112 CT Primary

Addresses

Primary practice location

226 Ridgefield Dr
Middletown, CT 06457-6513

Mailing address

226 Ridgefield Dr
Middletown, CT 06457-6513
Phone (860) 997-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409004330 CT Practitioner - Nurse Practitioner 0143668178 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
WCT Behavioral Health & Medication Management PLLC CurrentSince Jun 17, 2024 Accepting new patients
Connecticut Institute for Communities Inc CurrentSince Mar 1, 2024 Accepting new patients
Connecticut Institute for Communities Inc Current Accepting new patients

Locations

120 Main St
Danbury, CT 06810
Phone (203) 456-1406

120 Main St
Fl 4
Danbury, CT 06810
Phone (203) 456-1405

152 West St
Danbury, CT 06810
Phone (203) 791-5120

57 North St
Ste 103
Danbury, CT 06810
Phone (203) 744-7007

211 Schraffts Dr
Lowr
Waterbury, CT 06705
Phone (203) 518-8218

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1285314443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 RIDGEFIELD DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064576513",
            "telephone_number": "860-997-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 RIDGEFIELD DR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064576513",
            "telephone_number": "860-997-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NTA",
        "first_name": "MARY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.