Thorough Immersion Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

THOROUGH IMMERSION BEHAVIORAL HEALTH LLC

Practice address

111 Aspen Glen Dr
Hamden, CT 06518-3786

Phone

(908) 510-9076

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beatrice K Peku, APRNNPI 1285043851

Title

Manager

Phone

(908) 510-9076

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beatrice Khatti Peku, DNP, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cheshire, CT
  • NPI 1285043851
  NPD Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1710685722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ASPEN GLEN DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ASPEN GLEN DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183786",
            "telephone_number": "908-510-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOROUGH IMMERSION BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-19",
        "status": "A",
        "authorized_official_last_name": "PEKU",
        "authorized_official_first_name": "BEATRICE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "908-510-9076",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Wayne Thompson
• Jennifer Su Thompson, MD
• Judy Jane Thompson, CRNA
• Kelly M. Thompson, MS CCC SLP
• Laura Thompson, M.S. CCC-SLP
• Elizabeth J Thorp
• Alison E. Thurber, M.S.W.
• Giovana Tiene-Scalzo
• Tracy Carol Timque, PA
• TLT Global LLC

• Psychiatric/Mental Health Nurse Practitioner in Hamden, CT
• Providers in Hamden, 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 Feb 20, 2023; 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.