NPIMap

Organization Active NPI

Advanced Telepsych PLLC

  • Psychiatry Physician
  • Middletown, CT
National Provider Identifier
1508456377
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ADVANCED TELEPSYCH PLLC
Practice address
760 Saybrook Rd Ste 2
Middletown, CT 06457-4785
Phone
(888) 344-3893
NPI assigned
Jan 25, 2021
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lynn Hamilton
Title
Ceo
Phone
(888) 344-3893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

760 Saybrook Rd Ste 2
Middletown, CT 06457-4785

Mailing address

760 Saybrook Rd Ste 2
Middletown, CT 06457-4785
Phone (888) 344-3893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, FL, MA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20230106001717 CT Part B Supplier - Clinic/Group Practice 6800275603 Receives reassigned benefits from 22 practitioners
Practice locations: Cheshire, CT; Farmington, CT; Middletown, CT
O20230428000958 FL Part B Supplier - Clinic/Group Practice 6800275603 Receives reassigned benefits from 4 practitioners
Practice locations: Palm Coast, FL
O20231218003613 MA Part B Supplier - Clinic/Group Practice 6800275603 Receives reassigned benefits from 4 practitioners
Practice locations: South Hadley, MA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

760 Saybrook Rd
Ste 2
Middletown, CT 06457
Phone (860) 575-8484

389 Palm Coast Pkwy SW
Unit 3A
Palm Coast, FL 32137
Phone (888) 344-3893

171 Dwight Rd
Longmeadow, MA 01106
Phone (413) 200-0537

9 College St
Ste 6
South Hadley, MA 01075
Phone (413) 534-7400

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1508456377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 SAYBROOK RD STE 2",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574785",
            "telephone_number": "888-344-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 SAYBROOK RD STE 2",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574785",
            "telephone_number": "888-344-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TELEPSYCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-344-3893"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.