Cerula Care of Delaware PA

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CERULA CARE OF DELAWARE PA

Practice address

557 Prospect Ave
West Hartford, CT 06105-2965

Phone

(984) 263-5541

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Stephanie Shaw

Title

Chief Administrative Officer

Phone

(646) 334-9936

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle Nicholes Lavin, M.D.

  • Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
  • Chapel Hill, NC
  • NPI 1356632517
  NPD

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1538032313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 PROSPECT AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061052965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 PROSPECT AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061052965",
            "telephone_number": "984-263-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERULA CARE OF DELAWARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "646-334-9936"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catherine M Certo, PT
• Venumadhav Chaluvadi
• Beth Champagne, D.P.T.
• Bryanne D. Chandler, D.D.S.
• Eric Zhi Wing Chang, OD
• Maeghan Molly Chapman, PA-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.