Individual provider Active NPI

Pooja Y Patel, PSYCH NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wallingford, CT
National Provider Identifier
1518833565
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15453 Issued in CT
Practice address
744 Center St Apt 9
Wallingford, CT 06492-7808
Phone
(609) 350-0977
NPI assigned
Oct 16, 2025
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15453 CT Primary

Addresses

Primary practice location

744 Center St Apt 9
Wallingford, CT 06492-7808

Mailing address

744 Center St Apt 9
Wallingford, CT 06492-7808
Phone (609) 350-0977

Other practice location 1

281 Main St
East Hartford, CT 06118-1823
Phone (860) 569-5900

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
I20251204003418 CT Practitioner - Nurse Practitioner 4284127580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intercommunity IncGroup PAC ID 9032001649, 36 clinicians

Practice addresses (Care Compare)

16 Coventry St
Hartford, CT 06112-1524
Phone (860) 291-1335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15453CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Intercommunity, Inc. CurrentSince Nov 1, 2025 Accepting new patients

Locations

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1518833565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 CENTER ST APT 9",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064927808",
            "telephone_number": "609-350-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 CENTER ST APT 9",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064927808",
            "telephone_number": "609-350-0977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "281 Main St",
            "address_purpose": "LOCATION",
            "city": "East Hartford",
            "state": "CT",
            "postal_code": "061181823",
            "country_code": "US",
            "telephone_number": "860-569-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "middle_name": "Y",
        "credential": "PSYCH NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "15453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.