Sandy Hook Behavioral Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

SANDY HOOK BEHAVIORAL HEALTH LLC

Practice address

107 Church Hill Rd BLDG Ase2A
Sandy Hook, CT 06482-1194

Phone

(203) 304-1981

Fax

(203) 304-1891

NPI assigned

Feb 1, 2022

Organization subpart

No

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

Authorized official

Name

John Lujanac, APRNNPI 1043213788

Title

Owner

Phone

(203) 304-1981

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• John M. Lujanac, APRN

  • Family Nurse Practitioner
  • Sandy Hook, CT
  • NPI 1043213788
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1538812383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHURCH HILL RD BLDG ASE2A",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821194",
            "telephone_number": "203-304-1981",
            "fax_number": "203-304-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHURCH HILL RD BLDG ASE2A",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821194",
            "telephone_number": "203-304-1981",
            "fax_number": "203-304-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY HOOK BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "LUJANAC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-304-1981",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Lifshey Rosen, PSYD
• Emma Rubin, NCC, LPC
• Bonnie Curran Rumilly, LCSW
• Kathleen Elizabeth Ruopp, COTA/L
• Marie J Russo, LCSW
• Victoria Scataglini, MSED. LPC
• Stephanie Ellen Schiff, DC,DCN,FACACN,LLC
• Thea Schiller, LPC
• Robert W Schmidt, LPC
• Abigail Sclafani, LADC

• Family Nurse Practitioner in Sandy Hook, CT
• Providers in Sandy Hook, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.