Active NPI
Melissa Rayment, DNP MSN PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Killingworth, CT
National Provider Identifier
1750195392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 12.015036
- Practice address
- 63 Parker Hill Road Ext
Killingworth, CT 06419-2311 - Phone
- (203) 937-2309
- NPI assigned
- Feb 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 12.015036 | CT | Primary |
Addresses
Primary practice location
63 Parker Hill Road Ext
Killingworth, CT 06419-2311
Mailing address
46 Hynes Ave Apt A2
Groton, CT 06340-5052
Phone (860) 861-7496
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12.015036 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CT Clinical Services, 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 and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New Haven, CT
- NPI 1497025035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755561600000",
"number": "1750195392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 HYNES AVE APT A2",
"city": "GROTON",
"state": "CT",
"postal_code": "063405052",
"telephone_number": "860-861-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 PARKER HILL ROAD EXT",
"city": "KILLINGWORTH",
"state": "CT",
"postal_code": "064192311",
"telephone_number": "203-937-2309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMENT",
"first_name": "MELISSA",
"credential": "DNP MSN PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-08-19",
"certification_date": "2025-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "12.015036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Killingworth, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.