Active NPI
Stephane Pady Clermont, DNP, PMHNP-C, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 006312
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006312 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| Northpoint Psychiatric Consultants LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Charter Oak Health Center, Inc. | Current | Accepting new patients | |
| Sunrise Psychological Services LLC | Current | Accepting new patients | |
| Step Up Care PC LLC | Current | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Middletown, CT
- NPI 1568096790
CT, Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1992750855
CT
-
- Federally Qualified Health Center (FQHC)
- Hartford, CT
- NPI 1841937679
-
- Internal Medicine Physician
- Monroe, CT
- NPI 1073746202
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.