Active NPI
Sydney Royer, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Willimantic, CT
National Provider Identifier
1457059958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 12.011664
- Practice address
- 289 Windham Rd
Willimantic, CT 06226-3528 - Phone
- (203) 634-7020
- NPI assigned
- Feb 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 12.011664 | CT | Primary |
Addresses
Primary practice location
289 Windham Rd
Willimantic, CT 06226-3528
Mailing address
65 Horse Pond Rd Apt G
Salem, CT 06420-4039
Phone (860) 303-7100
Other practice location 1
365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711
Other practice location 2
1250 Silver St
Middletown, CT 06457-3946
Phone (860) 852-1064
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11664 | CT | MD | Social Worker |
| 12.011664 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Mind and Wellness | Psychiatric/Mental Health | Current | Accepting new patients |
| Rushford Center, Inc. | Current | Accepting new patients |
Locations
883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220
1250 Silver St
Middletown, CT 06457
Phone (860) 346-0300
Interoperability endpoints
- sydney.royer@xdr.hhchealthdirect.org
Organizations & group practices 2
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.
-
- Psychologist
- Meriden, CT
- NPI 1275541005
-
- Psychiatric/Mental Health Nurse Practitioner
- Colchester, CT
- NPI 1386522365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1457059958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 HORSE POND RD APT G",
"city": "SALEM",
"state": "CT",
"postal_code": "064204039",
"telephone_number": "860-303-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 WINDHAM RD",
"city": "WILLIMANTIC",
"state": "CT",
"postal_code": "062263528",
"telephone_number": "203-634-7020"
}
],
"practiceLocations": [
{
"address_1": "365 Montauk Ave",
"address_purpose": "LOCATION",
"city": "New London",
"state": "CT",
"postal_code": "063204700",
"country_code": "US",
"telephone_number": "860-442-0711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 Silver St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064573946",
"country_code": "US",
"telephone_number": "860-852-1064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROYER",
"first_name": "SYDNEY",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-23",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "12.011664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willimantic, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.