Individual provider Active NPI

Ruby Mensah, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glastonbury, CT
National Provider Identifier
1679214555
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12.010516 Issued in CT
Practice address
200 Oak St Ste C
Glastonbury, CT 06033-4805
Phone
(860) 780-2262
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12.010516 CT Primary

Addresses

Primary practice location

200 Oak St Ste C
Glastonbury, CT 06033-4805

Mailing address

300 Hebron Ave Ste 217
Glastonbury, CT 06033-2192
Phone (860) 969-4672

Other practice location 1

41 Old Turnpike Rd
Southington, CT 06489-3633
Phone (860) 276-9295

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220711000360 CT Practitioner - Nurse Practitioner 8224418041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Connecticut Behavioral Health Assoc PCGroup PAC ID 4385532373, 38 clinicians

Practice addresses (Care Compare)

85 Lexington St
New Britain, CT 06052-1416
Phone (860) 223-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12.010516CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Mental Healthcare Psychiatric/Mental Health CurrentSince Dec 22, 2024 Accepting new patients
Connecticut Behavioral Health Assoc, P.C. Psychiatric/Mental Health CurrentSince Apr 4, 2022 Accepting new patients

Locations

300 Hebron Ave
Ste 217
Glastonbury, CT 06033
Phone (860) 659-2697

140 Glastonbury Blvd
Ste 25
Glastonbury, CT 06033
Phone (860) 644-0300

200 Oak St
Ste C
Glastonbury, CT 06033
Phone (860) 657-8868

2969 Whitney Ave
Ste L1
Hamden, CT 06518

85 Lexington St
New Britain, CT 06052
Phone (860) 223-1111

41 Faire Harbour Pl
New London, CT 06320
Phone (860) 437-6914

22 Case St
Norwich, CT 06360
Phone (860) 437-6914

41 Old Turnpike Rd
Southington, CT 06489
Phone (860) 276-9295

Interoperability endpoints

  • Direct secure messaging: ruby.mensah.1@32885.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1679214555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 HEBRON AVE STE 217",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332192",
            "telephone_number": "860-969-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ST STE C",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334805",
            "telephone_number": "860-780-2262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Old Turnpike Rd",
            "address_purpose": "LOCATION",
            "city": "Southington",
            "state": "CT",
            "postal_code": "064893633",
            "country_code": "US",
            "telephone_number": "860-276-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENSAH",
        "first_name": "RUBY",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.010516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

Verify at the official NPI Registry.