Aveline Psychiatry LLC | NPI 1558031948

Key facts

NPI: 1558031948
Entity type: Organization (NPI type 2)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name: AVELINE PSYCHIATRY LLC
Practice address: 2553 Whitney Ave
Hamden, CT 06518-3021
Phone: (917) 856-7195
NPI assigned: Sep 16, 2021
Organization subpart: No

Authorized official

Name: Charles H Melvin, APRN NPI 1356406847
Title: Owner
Phone: (917) 856-7195

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Charles H Melvin, APRN Psychiatric/Mental Health Nurse Practitioner · Middletown, CT · NPI 1356406847

Medicare reassignment NPD Authorized official CT · PSYCHIATRIC/MENTAL HEALTH
Bruce Jamie Stevens, APRN Psychiatric/Mental Health Nurse Practitioner · Concord, NC · NPI 1114220613

Medicare reassignment NPD CT · PSYCHIATRIC/MENTAL HEALTH
Suellen Aptman, LCSW Clinical Social Worker · Guilford, CT · NPI 1053491266

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20211001000164	CT	Part B Supplier - Clinic/Group Practice	3375940562	Receives reassigned benefits from 2 practitioners Practice locations: Guilford, CT; Hamden, CT

National Provider Directory

Locations

99 Whitfield St
Guilford, CT 06437
Phone (203) 245-8088

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner Group: 193400000X SINGLE SPECIALTY GROUP	363LP0808X			Yes

Addresses

Primary practice location

2553 Whitney Ave
Hamden, CT 06518-3021

Mailing address

13 Coventry Way
Guilford, CT 06437-1671
Phone (917) 856-7195

Other providers in Hamden, CT

Nancy Atwood, LCSW
Auditory and Vestibular Institute of New England LLC,
Karin K Augur, PA
Lauren Elizabeth Austin-McClellan, D.C
Tremetra L Austin
John M. Aversa Jr., D.O
Kristen R. Aversa, MD
Raul A Avila, LPC
David Glenn Axman, D.C.
Axxis Wellness, Inc.

All providers in Hamden, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.