Lori Pelosi, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

005149 Issued in CT

Practice address

57 Plains Rd Suite 1 a
Unit 2
Milford, CT 06461-2573

Phone

(203) 465-6537

Fax

(203) 900-0672

NPI assigned

Sep 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Connecticut Renaissance, Inc.Group PAC ID 0941253728, 5 clinicians

Family Intervention Center, IncGroup PAC ID 5193890135, 4 clinicians

Wolf Spirit Wellness and Counseling Center LLCGroup PAC ID 0244604114, 4 clinicians

The Healthy Mind Psychiatric Services PCGroup PAC ID 4082874672, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connecticut Renaissance, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Stamford, CT
  • NPI 1700893807
  Medicare reassignment Care Compare group NPD
• Family Intervention Center, Inc

  • Clinic/Center
  • Waterbury, CT
  • NPI 1598764474
  Medicare reassignment Care Compare group NPD
• Holistic Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waterbury, CT
  • NPI 1871983239
  Medicare reassignment NPD Authorized official
• The Healthy Mind Psychiatric Services PC

  • Psychiatry Physician
  • Middlebury, CT
  • NPI 1063785814

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Wolf Spirit Wellness and Counseling Center, LLC

  • Community/Behavioral Health Agency
  • Woodbury, CT
  • NPI 1710480520
  Medicare reassignment Care Compare group NPD
• Optimus Health Care Inc

  • Federally Qualified Health Center (FQHC)
  • Bridgeport, CT
  • NPI 1669445946
  Medicare reassignment NPD
• Connecticut Renaissance, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waterbury, CT
  • NPI 1700352721
  NPD

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1649521352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 GUERNSEYTOWN RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951820",
            "telephone_number": "203-525-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PLAINS RD SUITE 1 A",
            "address_2": "UNIT 2",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612573",
            "telephone_number": "203-465-6537",
            "fax_number": "203-900-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELOSI",
        "first_name": "LORI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "005149",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "005149",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "005149",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alyssa Suzanne Pearce, OTR/L
• Jacquelin D Pecora, PT
• Pediatric House Call Solutions LLC
• Janice L Pereira, APRN
• Nalin Perera, M.D.
• Lisa-Renee Perez-Cabello, L.M.F.T.
• Jocelyn Perez, RBT
• Nicole Maryann Pergolotti, DPT

• Psychiatric/Mental Health Nurse Practitioner in Milford, CT
• Providers in Milford, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.

Verify at the official NPI Registry.