Eleanor Marie Fritz, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bloomfield, CT
NPI 1750466744 · NPPES record last updated May 30, 2023
Key facts
- NPI
- 1750466744
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 000539 (CT)
- Practice address
- 701 Cottage Grove Rd Ste C210
Bloomfield, CT 06002-4207 - Phone
- (860) 218-4315
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Psychological Health Associates LLC
Practice addresses (Care Compare)
701 Cottage Grove Rd
Suite C210
Bloomfield, CT 06002-4207
Phone (860) 233-9772
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050831000854 | CT | Practitioner - Nurse Practitioner | 2769414549 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000539 | CT | MD | Counselor |
| 539 | CT | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvest Healthcare LLC | Current |
Accepting new patients | |
| Psychological Health Associates LLC | Current |
Accepting new patients | |
| Connecticut Mental Health Specialists Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Community Renewal Team, Inc. | Past | Accepting new patients | |
| Anna Gut LLC | Past | Accepting new patients |
Locations
21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182
701 Cottage Grove Rd
Ste C210
Bloomfield, CT 06002
Phone (860) 233-9772
270 Farmington Ave
Ste 309
Farmington, CT 06032
Phone (860) 677-5570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 000539 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 000539 | CT | Yes |
Addresses
Primary practice location
701 Cottage Grove Rd Ste C210
Bloomfield, CT 06002-4207
Mailing address
Pscyhological Health Associates C/O Eleanor Fritz
701 Cottage Grove Road Suite C210
Bloomfield, CT 06002-2141
Phone (860) 233-9772
Other providers in Bloomfield, CT
- Monique Fray
- Free Spirit Psychotherapy, LLC
- Bruce Martin Freedman
- Lisa Fritch
- Lori L. Fritts
- Lelieth Furze
- Andrew G Gabow
- Meghana Gaiki
- Kimberly R Galati
- Gabriel Vincent Gambardella
All providers in Bloomfield, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.