Individual provider Active NPI

Eleanor Marie Fritz, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomfield, CT
National Provider Identifier
1750466744
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
000539 Issued in CT
Practice address
701 Cottage Grove Rd Ste C210
Bloomfield, CT 06002-4207
Phone
(860) 218-4315
NPI assigned
Oct 26, 2006
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 000539 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 000539 CT Primary

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

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
I20050831000854 CT Practitioner - Nurse Practitioner 2769414549 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Health Associates LLCGroup PAC ID 9638066822, 11 clinicians

Practice addresses (Care Compare)

701 Cottage Grove Rd
Suite C210
Bloomfield, CT 06002-4207
Phone (860) 233-9772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
539CTMDClinical Psychologist
000539CTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Mental Health Specialists Inc Psychiatric/Mental Health CurrentSince Apr 1, 2019 Accepting new patients
Harvest Healthcare LLC CurrentSince Jan 25, 2022 Accepting new patients
Psychological Health Associates LLC CurrentSince May 1, 2023 Accepting new patients
Anna Gut LLC Past Accepting new patients
Community Renewal Team, Inc. 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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1750466744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PSCYHOLOGICAL HEALTH ASSOCIATES C/O ELEANOR FRITZ",
            "address_2": "701 COTTAGE GROVE ROAD SUITE C210",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022141",
            "telephone_number": "860-233-9772",
            "fax_number": "860-236-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COTTAGE GROVE RD STE C210",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060024207",
            "telephone_number": "860-218-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "ELEANOR",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "CT",
            "license": "000539",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "000539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.