Individual provider Active NPI

Stephane Pady Clermont, DNP, PMHNP-C, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, CT
National Provider Identifier
1508237199
Registry record updated Mar 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
006312 Issued in CT
Practice address
363 Main St
Middletown, CT 06457-3359
Phone
(860) 799-1626
NPI assigned
Oct 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 006312 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 006312 CT Primary

Addresses

Primary practice location

363 Main St
Middletown, CT 06457-3359

Mailing address

11 Shetland Dr
Wallingford, CT 06492-2646
Phone (203) 550-9998

Other practice location 1

21 Grand St
Hartford, CT 06106-1541
Phone (860) 550-7500

Other practice location 2

163 Quinnipiac Ave
North Haven, CT 06473-3623
Phone (860) 729-1917

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
I20160823000159 CT Practitioner - Nurse Practitioner 7113212762 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northpoint Psychiatric Consultants LLCGroup PAC ID 3870951106, 2 clinicians

Practice addresses (Care Compare)

363 Main St
Suite 412 413
Middletown, CT 06457-3359
Phone (860) 799-1626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006312CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Charter Oak Health Center, Inc. CurrentSince Jun 13, 2016 Accepting new patients
Northpoint Psychiatric Consultants LLC Psychiatric/Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Charter Oak Health Center, Inc. CurrentSince Jun 13, 2016 Accepting new patients
Sunrise Psychological Services LLC CurrentSince Apr 20, 2019 Accepting new patients
Step Up Care PC LLC CurrentSince Apr 22, 2019 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients

Locations

46 Stony Hill Rd
Bethel, CT 06801
Phone (203) 207-4100

21 Grand St
Hartford, CT 06106

363 Main St
Ste 412
Middletown, CT 06457
Phone (860) 799-1626

363 Main St
Ste 412413
Middletown, CT 06457
Phone (860) 799-1626

55 Grand St
New Britain, CT 06052
Phone (845) 459-5767

30 Park Ln E
New Milford, CT 06776
Phone (860) 355-0971

163 Quinnipiac Ave
North Haven, CT 06473
Phone (203) 624-3303

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1508237199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHETLAND DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922646",
            "telephone_number": "203-550-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573359",
            "telephone_number": "860-799-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Grand St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061061541",
            "country_code": "US",
            "telephone_number": "860-550-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "163 Quinnipiac Ave",
            "address_purpose": "LOCATION",
            "city": "North Haven",
            "state": "CT",
            "postal_code": "064733623",
            "country_code": "US",
            "telephone_number": "860-729-1917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADY CLERMONT",
        "first_name": "STEPHANE",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-08",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "006312",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "006312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

Verify at the official NPI Registry.