Individual provider Active NPI

Anna Gut, CNS, PMH-BC, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Trumbull, CT
National Provider Identifier
1740611748
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
001319 Issued in CT
Practice address
502 White Plains Rd
Trumbull, CT 06611-4857
Phone
(860) 810-2302
Fax
(203) 349-2087
NPI assigned
Dec 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001319 CT
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 001319 CT
Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist 364SP0811X 001319 CT
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 001319 CT
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 001319 CT Primary

Addresses

Primary practice location

502 White Plains Rd
Trumbull, CT 06611-4857

Mailing address

502 White Plains Rd
Trumbull, CT 06611-4857
Phone (860) 810-2302

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
I20150413000204 CT Practitioner - Nurse Practitioner 1951629591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

502 White Plains Rd
Trumbull, CT 06611-4857
Phone (860) 810-2302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
001319CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Gut Aprn LLC Psychiatric/Mental Health, Child & Adolescent CurrentSince Sep 1, 2015 Accepting new patients
Jean Richard Ladouceur Community/Behavioral Health CurrentSince Mar 1, 2015 Accepting new patients

Locations

760 Saybrook Rd
Middletown, CT 06457
Phone (860) 347-3304

502 White Plains Rd
Trumbull, CT 06611
Phone (860) 810-2302

415 Silas Deane Hwy
Ste 401
Wethersfield, CT 06109
Phone (860) 593-8373

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": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1740611748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114857",
            "telephone_number": "860-810-2302",
            "fax_number": "203-349-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114857",
            "telephone_number": "860-810-2302",
            "fax_number": "203-349-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUT",
        "first_name": "ANNA",
        "credential": "CNS, PMH-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001319",
            "primary": false
        },
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CT",
            "license": "001319",
            "primary": false
        },
        {
            "code": "364SP0811X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Chronically Ill",
            "state": "CT",
            "license": "001319",
            "primary": false
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "CT",
            "license": "001319",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "001319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

Verify at the official NPI Registry.