Sandra Jean Kissel, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12.006552 Issued in CT

Practice address

126 Dowd Ave
Canton, CT 06019-2400

Phone

(860) 693-8809

Fax

(860) 693-0141

NPI assigned

Jun 15, 2016

Last updated

Jun 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Focus Alternative Learning Center, Inc.

  • Community/Behavioral Health Agency
  • Canton, CT
  • NPI 1689713166
  NPD (past)

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1811347305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 DOWD AVE",
            "address_2": "PO BOX 452",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192400",
            "telephone_number": "860-693-8809",
            "fax_number": "860-693-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 DOWD AVE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192400",
            "telephone_number": "860-693-8809",
            "fax_number": "860-693-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSEL",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12.006552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kassel, PT
• Charles Keefe, D.M.D.
• Matthew Keefe, D.M.D.
• Theresa Keefe, D.M.D.
• Martin W Kidder
• John Kouch, M.D.
• Eunjee Josephine Lee, RPH
• Robert Morton Leve, PH.D.
• Yubin Liang
• Candice M. Limmer, MS

• Psychiatric/Mental Health Nurse Practitioner in Canton, CT
• Providers in Canton, 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 Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.