Amanda Adams
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · West Haven, CT
NPI 1649007154 · NPPES record last updated Jul 27, 2025
Key facts
- NPI
- 1649007154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 14918 (CT)
- Practice address
- 950 Campbell Ave
West Haven, CT 06516-2770 - Phone
- (203) 932-5711
- NPI assigned
- Sep 18, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 153923 | CT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 153923 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 14918 | CT | Yes |
Addresses
Primary practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
950 Campbell Ave
West Haven, CT 06516-2770
Other practice location 1
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
Other providers in West Haven, CT
- Abdelmalik Aboubakar Aboubakar Sr.
- Mary Rahul Abraham
- Linda Accordino
- Achieve Independence
- Jenna Lauren Adamowicz
- Leonard John Adams
- Lynette Jean Adams
- Nicole Marie Adams
- Samuel Michael Adelman
- Olutoyin Adesola
All providers in West Haven, 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 Jul 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.