Individual provider Active NPI

Patricia Jewell Chepel, M.A.

  • Student in an Organized Health Care Education/Training Program
  • Branford, CT
National Provider Identifier
1669627196
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3 Pine Hollow Rd
Branford, CT 06405-2411
Phone
(727) 421-9190
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3 Pine Hollow Rd
Branford, CT 06405-2411

Mailing address

3 Pine Hollow Rd
Branford, CT 06405-2411
Phone (727) 421-9190

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240611003427 CT Practitioner - Mental Health Counselor 2668914177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Clifford W. Beers Guidance Clinic Inc CurrentSince May 4, 2024 Accepting new patients
Clifford W. Beers Guidance Clinic Inc Past Accepting new patients

Locations

41 Marne St
Hamden, CT 06514
Phone (203) 691-9383

93 Edwards St
New Haven, CT 06511
Phone (203) 772-1270

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.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1669627196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PINE HOLLOW RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052411",
            "telephone_number": "727-421-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 PINE HOLLOW RD",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052411",
            "telephone_number": "727-421-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEPEL",
        "first_name": "PATRICIA",
        "middle_name": "JEWELL",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branford, CT

Sources for this page

Verify at the official NPI Registry.