Active NPI
Janet J Rooney, APRN BC
- Psychiatric/Mental Health Nurse Practitioner
- Wallingford, CT
National Provider Identifier
1336153832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 001132
- Practice address
- 116 S Main St
Wallingford, CT 06492-4217 - Phone
- (203) 265-3341
- Fax
- (203) 265-3651
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 001132 | CT | Primary |
Addresses
Primary practice location
116 S Main St
Wallingford, CT 06492-4217
Mailing address
116 S Main St
Wallingford, CT 06492-4217
Phone (203) 265-3341
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400001132CT01 | Other | CT | ANTHEM |
| 134433 | Other | CT | VALUE OPTIONS |
| 187090 | Other | CT | MHN |
| P2539714 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 7, 2024 through Jun 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001132 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peaceful Psychiatry, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Julie Gombieski, APRN
- Community/Behavioral Health Agency
- Wallingford, CT
- NPI 1912594268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336153832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 S MAIN ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924217",
"telephone_number": "203-265-3341",
"fax_number": "203-265-3651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 S MAIN ST",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064924217",
"telephone_number": "203-265-3341",
"fax_number": "203-265-3651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROONEY",
"first_name": "JANET",
"middle_name": "J",
"name_prefix": "Ms.",
"credential": "APRN BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "001132",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "400001132CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "134433",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "187090",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2539714",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.