Active NPI
Delores Addy, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Manchester, CT
National Provider Identifier
1467393116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 17113
- Practice address
- 74 Haynes Street
Manchester, CT 06040-2686 - Phone
- (860) 646-1222
- NPI assigned
- Apr 4, 2026
- Last updated
- Apr 27, 2026
- 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 | 17113 | CT | Primary |
Addresses
Primary practice location
74 Haynes Street
Manchester, CT 06040-2686
Mailing address
40 Olcott St Apt 331
Manchester, CT 06040-2686
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17113 | 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": "1775260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777248000000",
"number": "1467393116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 OLCOTT ST APT 331",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060402686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 HAYNES STREET",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060402686",
"telephone_number": "860-646-1222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDY",
"first_name": "DELORES",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-04",
"last_updated": "2026-04-27",
"certification_date": "2026-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "17113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.