Active NPI
Ashley Labonte
- Psychiatric/Mental Health Nurse Practitioner
- Putnam, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 7900
- Practice address
- 202 Pomfret St
Putnam, CT 06260-1833 - Phone
- (860) 963-7917
- NPI assigned
- May 23, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 7900 | CT | Primary |
Addresses
Primary practice location
202 Pomfret St
Putnam, CT 06260-1833
Mailing address
760 Saybrook Rd Ste 2
Middletown, CT 06457-4785
Phone (888) 344-3893
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group Inc | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Current | Accepting new patients | |
| Advanced Telepsych PLLC | Current | Accepting new patients | |
| Northeast Neuropsychology, LLC | Past | Accepting new patients |
Locations
609 W Johnson Ave
Ste 104
Cheshire, CT 06410
Phone (203) 272-6007
760 Saybrook Rd
Ste 2
Middletown, CT 06457
Phone (860) 575-8484
194 Howard St
New London, CT 06320
Phone (860) 442-0564
365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- advanced.telepsych.ashley.labonte@154122.advancedmd-direct.com
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Middletown, CT
- NPI 1508456377
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
-
- Radiation Oncology Physician
- Greenwich, CT
- NPI 1821390626
-
- Clinical Neuropsychologist
- Cheshire, CT
- NPI 1396991956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675900800000",
"number": "1770074957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 SAYBROOK RD STE 2",
"city": "MIDDLETOWN",
"state": "CT",
"postal_code": "064574785",
"telephone_number": "888-344-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601833",
"telephone_number": "860-963-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LABONTE",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-23",
"last_updated": "2023-02-09",
"certification_date": "2023-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "7900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.