Active NPI
Melina Spanos, NP
- Psychiatric/Mental Health Nurse Practitioner
- Waterford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 13957
- Practice address
- 24 Colonial Dr
Waterford, CT 06385-3332 - Phone
- (860) 460-5961
- NPI assigned
- Oct 8, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13957 | CT | Primary |
Addresses
Primary practice location
24 Colonial Dr
Waterford, CT 06385-3332
Mailing address
274 Madison Ave
New York, NY 10016-0701
Phone (212) 203-1773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
103 Continental PL
Brentwood, TN 37027-1041
Phone (615) 445-7600
500 Post Rd E
Suite 265
Westport, CT 06880-4431
Phone (212) 203-1773
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13957 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rivia Medical PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| A Sound Mind Behavioral Health | Current | Accepting new patients | |
| Rivia Medical PLLC | Past | Accepting new patients |
Locations
500 Post Rd E
Ste 265
Westport, CT 06880
Phone (212) 202-1773
274 Madison Ave
Rm 1501
New York, NY 10016
Phone (212) 202-1773
103 Continental Pl
Brentwood, TN 37027
Phone (615) 208-2464
103 Continental Pl
Ste 204
Brentwood, TN 37027
Phone (615) 435-9024
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1003492562
-
- Nutritionist
- New York, NY
- NPI 1871280818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1518786276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160701",
"telephone_number": "212-203-1773",
"fax_number": "646-665-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 COLONIAL DR",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063853332",
"telephone_number": "860-460-5961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANOS",
"first_name": "MELINA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "13957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford, CT
- Mark Somers, M.D.
- Adrianne Sostre, L.P.C.
- Soulspace Counseling LLC
- Southeastern Connecticut Imaging Center, LLC
- Southern New England Anesthesia Partners, PLLC
- Sparrows Worth Wellness Services
- Spectrum Physical Therapy Limited Partnership
- Spectrum Physical Therapy Limited Partnership
- Reuben Taylor Spitz, PHD
- Desiree Ann Spooner, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.