Active NPI
Dulijeta Becirovic, RN
- Psychiatric/Mental Health Nurse Practitioner
- Portland, CT
National Provider Identifier
1396568424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 12016679
- Practice address
- 63 Cedar Ter
Portland, CT 06480-1094 - Phone
- (860) 808-8964
- NPI assigned
- Nov 6, 2024
- Last updated
- Feb 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 12016679 | CT | Primary |
Addresses
Primary practice location
63 Cedar Ter
Portland, CT 06480-1094
Mailing address
63 Cedar Ter
Portland, CT 06480-1094
Phone (860) 808-8964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12016679 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1396568424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 CEDAR TER",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064801094",
"telephone_number": "860-808-8964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 CEDAR TER",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064801094",
"telephone_number": "860-808-8964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECIROVIC",
"first_name": "DULIJETA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-06",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "12016679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, CT
- Lindsey Arcand, LCSW
- Keith Arcari, P.T.
- Awakened Mental Health PLLC
- B&D Counseling Services,LLC
- Bardwell Behavioral, LLC
- Rowan Brittingham Bell
- Michele Binezewski, LPC
- Body Flex Physical Therapy LLC (Body Flex Physical Therapy)
- Bordonaro's Pharmacy Inc.
- Bordonaro's Pharmacy Inc. (The Medicine Centre Bordonaro's)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.