Individual provider Active NPI

Nicholas Joseph Stanzione, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Stamford, CT
National Provider Identifier
1720744782
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14872 Issued in CT
Practice address
1055 Summer St Ste 2
Stamford, CT 06905-5527
Phone
(203) 439-5050
NPI assigned
Nov 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010876 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 407579 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14872 CT Primary

Addresses

Primary practice location

1055 Summer St Ste 2
Stamford, CT 06905-5527

Mailing address

34545 Dupont Blvd Ste 11
Frankford, DE 19945-3948
Phone (914) 764-2954

Other practice location 1

243 Tresser Blvd
Stamford, CT 06901-3436
Phone (914) 764-2954

Other practice location 2

34545 DuPont Blvd Ste 11
Frankford, DE 19945-3948
Phone (914) 764-2954

Other practice location 3

800 Westchester Ave
Rye Brook, NY 10573-1354
Phone (914) 764-2954

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250829000324 CT Practitioner - Nurse Practitioner 1456852672 Reassigns benefits to 1 organization
I20260306001105 NY Practitioner - Nurse Practitioner 1456852672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Brain Health LLCGroup PAC ID 9537538244, 6 clinicians

Practice addresses (Care Compare)

1055 Summer St
Suite 2
Stamford, CT 06905-5527
Phone (203) 504-9758

418 Broadway
Albany, NY 12207-2922
Phone (203) 504-9758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8-0010876DEMDPsychiatric/Mental Health Nurse Practitioner
407579NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Brain Health LLC CurrentSince Aug 1, 2025 Accepting new patients
Astra Psychiatry Psychiatric/Mental Health Past Accepting new patients

Locations

1055 Summer St
Ste 2
Stamford, CT 06905
Phone (203) 504-9758

418 Broadway
#6409
Albany, NY 12207
Phone (203) 504-9758

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": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1720744782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34545 DUPONT BLVD STE 11",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199453948",
            "telephone_number": "914-764-2954",
            "fax_number": "914-259-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SUMMER ST STE 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069055527",
            "telephone_number": "203-439-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "243 Tresser Blvd",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069013436",
            "country_code": "US",
            "telephone_number": "914-764-2954",
            "fax_number": "914-259-5363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34545 DuPont Blvd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Frankford",
            "state": "DE",
            "postal_code": "199453948",
            "country_code": "US",
            "telephone_number": "914-764-2954",
            "fax_number": "914-259-5363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Rye Brook",
            "state": "NY",
            "postal_code": "105731354",
            "country_code": "US",
            "telephone_number": "914-764-2954",
            "fax_number": "914-259-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANZIONE",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-15",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010876",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "407579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.