Tricia Mignosa, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5763 Issued in CT

Practice address

2415 Boston Post Rd Ste 12
Guilford, CT 06437-4348

Phone

(203) 693-4566

Fax

(203) 457-5970

NPI assigned

Feb 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tricia Bellucci Former name

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Stony Creek Wellness Group, LLCGroup PAC ID 3072896380, 5 clinicians

Town of BranfordGroup PAC ID 9234020165, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmignosa65368@direct.ynhh.org
• FHIR API: https://api.qualifacts.org/api/fhir/BHcare/r4/

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.

• Stony Creek Wellness Group, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Guilford, CT
  • NPI 1598209116
  Medicare reassignment Care Compare group Authorized official
• Town of Branford

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Branford, CT
  • NPI 1063437895

  Clinical

  Medicare reassignment Care Compare group NPD
• Yale University

  • Anesthesiology Physician
  • New Haven, CT
  • NPI 1205822236
  Medicare reassignment Care Compare group NPD
• Yale University

  • Adult Mental Health Clinic/Center
  • Hamden, CT
  • NPI 1134391824
  NPD
• Yale University

  • Durable Medical Equipment & Medical Supplies
  • Fairfield, CT
  • NPI 1548066962
  NPD
• Bhcare, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ansonia, CT
  • NPI 1306042700
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1336139500
  Care Compare affiliation
• Yale New Haven Hospital

  • General Acute Care Hospital
  • New Haven, CT
  • NPI 1578778726
  Care Compare affiliation

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1770626129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD STE 12",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-693-4566",
            "fax_number": "203-457-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 BOSTON POST RD STE 12",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064374348",
            "telephone_number": "203-693-4566",
            "fax_number": "203-457-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNOSA",
        "first_name": "TRICIA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006393",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040399533",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "BELLUCCI",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Brines PHD MD LLC
• Michael G. Merlini D.D.S., Inc.
• Vincent John Michael, D.M.D.
• Linda Hope Michel-Loen, LCSW
• Michelle Hufner, LCSW, LLC
• Jamie Kosch Mikolay, PT
• Susan Sweeney Miller, CNM RN
• Kathleen Millhollan, APRN, FNP-C
• Laura Minatti, LCSW
• Marisa Mohrer, LCSW, MPH

• Psychiatric/Mental Health Nurse Practitioner in Guilford, CT
• Providers in Guilford, 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 Nov 28, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.