Michelle Dara Widdows, PMHNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12.014410 Issued in CT

Practice address

105 Technology Dr FL 2
Trumbull, CT 06611-6348

Phone

(475) 228-0961

Fax

(203) 283-6490

NPI assigned

Jan 29, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Michelle Kaplin Former name

Medicare fee-for-service enrollment

Enrolled in CT, NY2 enrollments

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 2

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CT, NY, Psychiatric/Mental Health

  Medicare reassignment NPD
• Homemakers of Staten Island, Inc.

  dba dba SafeHarbor HealthCare Services

  • Home Health Agency
  • Staten Island, NY
  • NPI 1952462806
  NPD (past)

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1669830139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TECHNOLOGY DR FL 2",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116348",
            "telephone_number": "475-228-0961",
            "fax_number": "203-283-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TECHNOLOGY DR FL 2",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116348",
            "telephone_number": "475-228-0961",
            "fax_number": "203-283-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDDOWS",
        "first_name": "MICHELLE",
        "middle_name": "DARA",
        "credential": "PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "606396",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "10.146391",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.014410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "KAPLIN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Marie Wendland, FNP
• Craig S Werner, MD
• Linda S Werner, MD
• Shakenya Whittaker, LPCA
• Kristen Whyte, FNP-C
• Kimberly Ann Wierzchowski, CNM
• Mark E Wilchinsky, M.D.
• Gail Wilder, M.D.
• Jason Matthew Wilder, D.O.
• Alexandra Danielle Williams, PT

• Psychiatric/Mental Health Nurse Practitioner in Trumbull, CT
• Providers in Trumbull, 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 Jun 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.