Active NPI
Tamanna Rahman, APRN, CPRP
- Psychiatric/Mental Health Nurse Practitioner
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 6582
- Practice address
- 270 Congress Ave
New Haven, CT 06519 - Phone
- (203) 764-9995
- NPI assigned
- Sep 9, 2011
- Last updated
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 6582 | CT | Primary |
| Registered Nurse | 163W00000X | 122042 | CT |
Addresses
Primary practice location
270 Congress Ave
New Haven, CT 06519
Mailing address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
Phone (203) 574-9000
Other practice location 1
141 E Main St
Waterbury Clinical Services
Waterbury, CT 06702-2310
Phone (203) 575-0466
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4887750 | Other | CT | CERTIFIED PSYCHIATRIC REHABILITIATION PRACTITIONER |
| PENDING | Other | CT | MHN/TRICARENORTH |
| D339123 WATERBURY | Other | CT | BEACON HEALTH STRATEGIES |
| PENDING | Other | CT | MANAGED HEALTH NETWORK/MHN |
| PENDING | Medicaid | CT | |
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| PMHNP-BC 2016011186 | Other | CT | COMMISSION ON CERTIFICATION ANCC-PSYCHIATRIC MENTAL HEALTH NURSE PRACCTIITIONER |
| 060669107 | Other | CT | CONNECTICARE/UBH WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | LIBERTY/OXFORD FREEDOM PLANS/UBH WELLMORE GRP/FACILITY |
| PENDING | Other | CT | AETNA BEHAVIORAL HEALTH |
| 060669107 | Other | CT | UNITED HEALTHCARE/UBH WELLMORE GRP/FACILITY |
| CSP.0063703 | Other | CT | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTICIONER |
| 060669107 | Other | CT | OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | ANTHEM BEHAVIORAL HEALTH GRP/FACILITY |
| 13872963 | Other | CT | CAQH |
| PENDING | Other | CT | CIGNA BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122042 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients |
Locations
270 Congress Ave
New Haven, CT 06519
Phone (203) 584-7387
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1790067395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E MAIN ST",
"address_2": "4TH FLOOR ADMINISTRATION",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067022310",
"telephone_number": "203-574-9000",
"fax_number": "203-574-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 CONGRESS AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "06519",
"telephone_number": "203-764-9995"
}
],
"practiceLocations": [
{
"address_1": "141 E Main St",
"address_2": "Waterbury Clinical Services",
"address_purpose": "LOCATION",
"city": "Waterbury",
"state": "CT",
"postal_code": "067022310",
"country_code": "US",
"telephone_number": "203-575-0466",
"fax_number": "203-575-1837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAHMAN",
"first_name": "TAMANNA",
"credential": "APRN, CPRP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "6582",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "122042",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED PSYCHIATRIC REHABILITIATION PRACTITIONER",
"identifier": "4887750",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN/TRICARENORTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "D339123 WATERBURY",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK/MHN",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHYCT WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON CERTIFICATION ANCC-PSYCHIATRIC MENTAL HEALTH NURSE PRACCTIITIONER",
"identifier": "PMHNP-BC 2016011186",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE/UBH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIBERTY/OXFORD FREEDOM PLANS/UBH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE/UBH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE REGISTRATION FOR PRACTICIONER",
"identifier": "CSP.0063703",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM BEHAVIORAL HEALTH/UBH WELLMORE GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BEHAVIORAL HEALTH GRP/FACILITY",
"identifier": "060669107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13872963",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "PENDING",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.