Individual provider Active NPI

Angela Deleon, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterbury, CT
National Provider Identifier
1477988566
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11607 Issued in CT
Practice address
1309 S Main St
Waterbury, CT 06706-1758
Phone
(203) 756-8021
NPI assigned
Sep 7, 2013
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11607 CT Primary
Health Psychologist 103TH0004X 111980 CT

Addresses

Primary practice location

1309 S Main St
Waterbury, CT 06706-1758

Mailing address

80 Phoenix Ave
Waterbury, CT 06702-1418
Phone (203) 756-8021

Other names 1

  • Angela Delmonaco Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230612001993 CT Practitioner - Nurse Practitioner 6608233374 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Staywell Health Care Inc.Group PAC ID 6305750480, 43 clinicians

Practice addresses (Care Compare)

80 Phoenix Ave
Waterbury, CT 06702-1418
Phone (203) 757-5491

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111980CTMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Staywell Health Care, Inc. CurrentSince May 7, 2023 Accepting new patients
Step Up Care PC LLC CurrentSince Mar 1, 2025 Accepting new patients
Staywell Health Care Inc Past Accepting new patients

Locations

30 Church St
Naugatuck, CT 06770
Phone (203) 805-4929

114 Benedict St
Waterbury, CT 06706

1302 S Main St
Waterbury, CT 06706
Phone (203) 597-9044

1309 S Main St
Waterbury, CT 06706
Phone (203) 597-9044

402 E Main St
Waterbury, CT 06702
Phone (203) 755-1143

80 Phoenix Ave
Waterbury, CT 06702
Phone (203) 573-1800

80 Phoenix Ave
Ste 201
Waterbury, CT 06702
Phone (203) 757-5491

80 Phoenix Ave
Ste 301
Waterbury, CT 06702

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1477988566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PHOENIX AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067021418",
            "telephone_number": "203-756-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 S MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061758",
            "telephone_number": "203-756-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "ANGELA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-07",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "11607",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CT",
            "license": "111980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "DELMONACO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waterbury, CT

Sources for this page

Verify at the official NPI Registry.