Active NPI
Avinash Rajram
- Psychiatric/Mental Health Nurse Practitioner
- Hartford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 15201
- Practice address
- 43 Woodland St
Hartford, CT 06105-2363 - Phone
- (518) 281-6077
- NPI assigned
- Nov 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 829589 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 15201 | CT | Primary |
Addresses
Primary practice location
43 Woodland St
Hartford, CT 06105-2363
Mailing address
43 Woodland St
Hartford, CT 06105-2363
Phone (518) 281-6077
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, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Hart St
New Britain, CT 06052-1759
Phone (860) 793-3500
43 Woodland St
Hartford, CT 06105-2363
Phone (860) 793-3500
855 Lakewood Rd
Waterbury, CT 06704-5408
Phone (860) 793-3500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 829589 | NY | MD | Psychiatric/Mental Health Registered Nurse |
| 15201 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheeler Clinic Inc | Current | Accepting new patients | |
| Wheeler Clinic Inc | Current | Accepting new patients |
Locations
43 Woodland St
Hartford, CT 06105
Phone (860) 241-0317
91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871
Interoperability endpoints
- avinash.rajram.p1@direct.wheelerclinic.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Plainville, CT
- NPI 1396750840
-
- Federally Qualified Health Center (FQHC)
- Bristol, CT
- NPI 1790532802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1619790607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052363",
"telephone_number": "518-281-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 WOODLAND ST",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061052363",
"telephone_number": "518-281-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAJRAM",
"first_name": "AVINASH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-06",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "829589",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "15201",
"primary": true
}
],
"identifiers": [],
"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 Aug 8, 2025; 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.