Five Corners Behavioral Health, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FIVE CORNERS BEHAVIORAL HEALTH, LLC

Practice address

115 Birdseye Rd
Farmington, CT 06032-2481

Phone

(860) 205-7416

Fax

(860) 678-9306

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Martha J Stewart, APRNNPI 1598132581

Title

Nurse Practioionter

Phone

(860) 205-7416

Specialties & licenses 1

Addresses

Other names 1

• Five Corners Behavioral Health Doing business as

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.

• Martha Jean Stewart, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington, CT
  • NPI 1598132581
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1356010243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BIRDSEYE RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322481",
            "telephone_number": "860-205-7416",
            "fax_number": "860-678-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BIRDSEYE RD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322481",
            "telephone_number": "860-205-7416",
            "fax_number": "860-678-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE CORNERS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTIOIONTER",
        "authorized_official_telephone_number": "860-205-7416",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Five Corners Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Five Corners Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline Williams Fisher, CN
• Jennifer Shirliean Fisher, PHYSICIAN ASSISTANT
• Denise Fitzgerald, PA
• Mary Jane Fitzpatrick, APRN
• Robert John Fitzpatrick, D.O.
• Andrea F Flaherty, LMFT
• Patrick Conal Flannery, DO
• Katherine Fleming, DDS
• Jacqueline Rubi Fleuriscar, MD
• Janine Fleury, PSY.D.

• Psychiatric/Mental Health Nurse Practitioner in Farmington, CT
• Providers in Farmington, 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 Aug 10, 2022; 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.