Active NPI
Summit Mind and Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Colchester, CT
National Provider Identifier
1386522365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SUMMIT MIND AND WELLNESS
- Practice address
- 20 Oak Leaf Dr
Colchester, CT 06415-2820 - Phone
- (860) 303-7100
- NPI assigned
- Aug 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sydney Royer, MSN, RN, PMHNP-BC
- Title
- Owner
- Phone
- (860) 303-7100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
20 Oak Leaf Dr
Colchester, CT 06415-2820
Mailing address
2389 Main St Ste 100
Glastonbury, CT 06033-4617
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Willimantic, CT
- NPI 1457059958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756166400000",
"number": "1386522365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2389 MAIN ST STE 100",
"city": "GLASTONBURY",
"state": "CT",
"postal_code": "060334617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OAK LEAF DR",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "064152820",
"telephone_number": "860-303-7100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MIND AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-26",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A",
"authorized_official_last_name": "ROYER",
"authorized_official_first_name": "SYDNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "860-303-7100",
"authorized_official_credential": "MSN, RN, PMHNP-BC"
},
"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": []
}
Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.