Speak Your Mind LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SPEAK YOUR MIND LLC

Practice address

495 Gold Star Hwy Ste 220
Groton, CT 06340-6230

Phone

(860) 501-4223

NPI assigned

Jun 17, 2022

Organization subpart

No

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

Authorized official

Name

Susan J Donovan, APRNNPI 1386317774

Title

Owner

Phone

(860) 501-4223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan J Donovan, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Haven, CT
  • NPI 1386317774
  Medicare reassignment NPD Authorized official
• Peter L. Drake

  • Mental Health Counselor
  • North Stonington, CT
  • NPI 1528689171

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691884800000",
    "number": "1740911189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 GLENWOOD AVE",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204304",
            "telephone_number": "860-501-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 GOLD STAR HWY STE 220",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063406230",
            "telephone_number": "860-501-4223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "163 Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "CT",
            "postal_code": "063204304",
            "country_code": "US",
            "telephone_number": "860-501-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEAK YOUR MIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2023-08-13",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-501-4223",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maggie Spadaro
• Daniel Paul Sparks
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• Jennifer L. Spreng, LMFT
• Jessica St. Germaine, LO
• Susannah Jane Forte Stahr, MS, MFT
• Laura Lee Stapleton, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Groton, CT
• Providers in Groton, 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 Aug 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.