Elevate Mental Wellness

Organization Active NPI Adult Health Nurse Practitioner · Middlebury, CT

NPI 1497623052 · NPPES record last updated Oct 27, 2025

Key facts

NPI
1497623052
Entity type
Organization (NPI type 2)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
Legal business name
ELEVATE MENTAL WELLNESS
Practice address
456 Three Mile Hill Rd
Middlebury, CT 06762-1713
Phone
(203) 850-0758
NPI assigned
Oct 27, 2025
Organization subpart
No

Authorized official

Name
Jacqueline Murillo, APRN
Title
DNP-Aprn
Phone
(203) 850-0758

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Elevate Mental Wellness (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LA2200X Yes

Addresses

Primary practice location

456 Three Mile Hill Rd
Middlebury, CT 06762-1713

Mailing address

456 Three Mile Hill Rd
Middlebury, CT 06762-1713
Phone (203) 850-0758

Other providers in Middlebury, CT

All providers in Middlebury, CT · Adult Health Nurse Practitioner in Connecticut

Sources for this page

Verify at the official NPI Registry.