Individual provider Active NPI

Bridgitte F. Ackeifi

  • Psychiatric/Mental Health Nurse Practitioner
  • Southington, CT
National Provider Identifier
1497406805
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10374 Issued in CT
Practice address
41 Old Turnpike Rd
Southington, CT 06489-3633
Phone
(860) 399-1399
Fax
(860) 823-1170
NPI assigned
Jan 17, 2022
Last updated
Sep 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 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 10374 CT Primary

Addresses

Primary practice location

41 Old Turnpike Rd
Southington, CT 06489-3633

Mailing address

22 Case St
Norwich, CT 06360-2215
Phone (860) 823-1399

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220311001573 CT Practitioner - Psychiatry 4880089721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

75 Norton Rd
New Britain, CT 06053-3835
Phone (860) 938-5194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health and Psychiatry Services MHPS LLC Psychiatric/Mental Health CurrentSince Jun 9, 2022 Accepting new patients
Quest Diagnostics LLC PastSince Jan 26, 2022 Accepting new patients

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, 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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1497406805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CASE ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602215",
            "telephone_number": "860-823-1399",
            "fax_number": "860-823-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 OLD TURNPIKE RD",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893633",
            "telephone_number": "860-399-1399",
            "fax_number": "860-823-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKEIFI",
        "first_name": "BRIDGITTE",
        "middle_name": "F.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "10374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.