Maryellin Flynn, APRN, NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4916 Issued in CT

Practice address

University of Connecticut Health Ctr
Uconn Homecare Program - Office C1357
Farmington, CT 06030-2103

Phone

(860) 480-6501

NPI assigned

May 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1417217431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CONNECTICUT HEALTH CTR",
            "address_2": "UCONN HOMECARE PROGRAM - OFFICE C1357",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302103",
            "telephone_number": "860-480-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CONNECTICUT HEALTH CTR",
            "address_2": "UCONN HOMECARE PROGRAM - OFFICE C1357",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302103",
            "telephone_number": "860-480-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "MARYELLIN",
        "name_prefix": "Mrs.",
        "credential": "APRN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "E53483",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Fleming, DDS
• Jacqueline Rubi Fleuriscar, MD
• Janine Fleury, PSY.D.
• Brittany Flood, DMD
• Catherine Malaine Florentine
• Millicent T Flynn, APRN
• Focused Therapy Solutions, LLC
• Elaine Danielle Foerster, DMD
• Emily Foldes, DMD
• Carroll Foley, LCSW

• 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 Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.