Active NPI
Emily Peluso, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2397
- Practice address
- 282 Washington St
Hartford, CT 06106-3322 - Phone
- (860) 545-9630
- Fax
- (860) 545-9622
- NPI assigned
- Feb 20, 2006
- Last updated
- Nov 22, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 061971 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2397 | CT | Primary |
Addresses
Primary practice location
282 Washington St
Hartford, CT 06106-3322
Mailing address
282 Washington St
Hartford, CT 06106-3322
Phone (860) 545-9630
Other practice location 1
71 Bradley Rd Unit 6
Madison, CT 06443-2662
Phone (860) 707-3331
Other practice location 2
760 Saybrook Rd Ste 2
Middletown, CT 06457-4785
Phone (888) 344-3893
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004243656 | Medicaid | CT |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
71 Bradley Rd
Unit 6
Madison, CT 06443-2662
Phone (203) 421-6242
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 061971 | CT | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Advanced Telepsych PLLC | Current | Accepting new patients | |
| The Gaetani Center | Psychiatric/Mental Health | Current | Accepting new patients |
| Northeast Neuropsychology, LLC | Past | Accepting new patients |
Locations
609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007
71 Bradley Rd
Unit 6
Madison, CT 06443
Phone (203) 421-6242
760 Saybrook Rd
Ste 2
Middletown, CT 06457
Phone (860) 575-8484
365 Montauk Ave
Rm 2609
New London, CT 06320
Phone (860) 444-4739
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- epeluso369128@direct.ynhh.org
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Madison, CT
- NPI 1710510680
-
- Psychiatry Physician
- Middletown, CT
- NPI 1508456377
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Clinical Neuropsychologist
- Cheshire, CT
- NPI 1396991956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1598730095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-545-9630",
"fax_number": "860-545-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 WASHINGTON ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061063322",
"telephone_number": "860-545-9630",
"fax_number": "860-545-9622"
}
],
"practiceLocations": [
{
"address_1": "71 Bradley Rd Unit 6",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "CT",
"postal_code": "064432662",
"country_code": "US",
"telephone_number": "860-707-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "760 Saybrook Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "064574785",
"country_code": "US",
"telephone_number": "888-344-3893",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELUSO",
"first_name": "EMILY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CT",
"license": "061971",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "2397",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004243656",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.