Individual provider Active NPI

Ellen Rees Prasinos, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Guilford, CT
National Provider Identifier
1699875187
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
003132 Issued in CT
Practice address
105 Church St
Guilford, CT 06437-2674
Phone
(203) 453-7445
Fax
(203) 245-7551
NPI assigned
Sep 24, 2006
Last updated
Jan 2, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 003132 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 003132 CT Primary

Addresses

Primary practice location

105 Church St
Guilford, CT 06437-2674

Mailing address

18 Oak Ave
Madison, CT 06443-2840
Phone (203) 245-8868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
003132CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rushford Center, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1699875187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OAK AVE",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432840",
            "telephone_number": "203-245-8868",
            "fax_number": "203-245-7551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CHURCH ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372674",
            "telephone_number": "203-453-7445",
            "fax_number": "203-245-7551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRASINOS",
        "first_name": "ELLEN",
        "middle_name": "REES",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "003132",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "003132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.