Individual provider Active NPI

Beth Villodas, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayville, CT
National Provider Identifier
1417049313
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1376 Issued in CT
Practice address
1007 North Main St
Dayville, CT 06241
Phone
(860) 774-2020
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 1376 CT Primary

Addresses

Primary practice location

1007 North Main St
Dayville, CT 06241

Mailing address

63 Laurence Dr
West Springfield, MA 01089-1736
Phone (606) 708-4838

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
I20040520000950 CT Practitioner - Certified Clinical Nurse Specialist (CNS) 9133110950 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
001376CTMDClinical Social Worker
1376CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
United Services Inc CurrentSince Apr 30, 2004 Accepting new patients
Hartford Community Mental Health Center Inc. PastSince Jul 10, 2011 Accepting new patients
Beacon Behavioral Services LLC Past Accepting new patients

Locations

140 N Frontage Rd
Mansfield Ctr, CT 06250
Phone (860) 456-2261

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1417049313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 LAURENCE DR",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891736",
            "telephone_number": "606-708-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NORTH MAIN ST",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "06241",
            "telephone_number": "860-774-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLODAS",
        "first_name": "BETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayville, CT

Sources for this page

Verify at the official NPI Registry.