Organization Active NPI

Becky Kreuzer Aprn, Pmhnp, LLC

  • Psychiatry Physician
  • Bristol, CT
National Provider Identifier
1619470655
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
BECKY KREUZER APRN, PMHNP, LLC
Practice address
22 Pine St Ste 205
Bristol, CT 06010-6949
Phone
(860) 506-5577
NPI assigned
Mar 15, 2018
Last updated
Mar 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Rebecca Kreuzer, APRN
Title
Aprn
Phone
(860) 506-5577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Primary

Addresses

Primary practice location

22 Pine St Ste 205
Bristol, CT 06010-6949

Mailing address

22 Pine St Ste 205
Bristol, CT 06010-6949
Phone (860) 506-5577

National Provider Directory

National Provider Directory

Locations

22 Pine St
Ste 205
Bristol, CT 06010
Phone (860) 845-2068

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1619470655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 PINE ST STE 205",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106949",
            "telephone_number": "860-506-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 PINE ST STE 205",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060106949",
            "telephone_number": "860-506-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKY KREUZER APRN, PMHNP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "KREUZER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "860-506-5577",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.