Jewel Walters-Davis, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

12361 Issued in CT

Practice address

243 Tresser Blvd FL 17
Stamford, CT 06901-3436

Phone

(860) 756-0455

NPI assigned

Aug 7, 2023

Last updated

Jul 28, 2026By 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 2

Addresses

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Connecticut Behavioral Health LLCGroup PAC ID 1951692706, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23172/brand/1/csg/1/fhir/r4

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.

• Central Connecticut Behavioral Health LLC

  • Addiction Psychiatry Physician
  • Rocky Hill, CT
  • NPI 1043666480

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Cornerstone Counseling Center

  • Professional Counselor
  • Waterbury, CT
  • NPI 1316486889
  Medicare reassignment NPD
• JD Quality Nurse Practitioner Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stamford, CT
  • NPI 1881472488
  NPD Authorized official
• Straun Health & Wellness

  • Psychiatry Physician
  • East Berlin, CT
  • NPI 1831647957
  NPD (past)
• Waterview Clinical Services LLC

  dba Waterview Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yalesville, CT
  • NPI 1013854728
  NPD (past)
• Waterview Clinical Services LLC

  dba Waterview Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yalesville, CT
  • NPI 1437918497

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1811679160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OSBORN AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065112804",
            "telephone_number": "203-999-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 TRESSER BLVD FL 17",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069013436",
            "telephone_number": "860-756-0455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Church St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Yalesville",
            "state": "CT",
            "postal_code": "064922253",
            "country_code": "US",
            "telephone_number": "860-421-6829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS-DAVIS",
        "first_name": "JEWEL",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "12361",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "128640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Wallace, PA-C
• Larique Wallace, PHARMD
• Emily Waller, LMHC-LPC
• Kimberly Ann Walsh, PA-C
• David Bruce Walshin, M.D.
• Guosheng Wang
• XI Wang, PHARMD
• Zhaohui Wang, MD
• Kurt Waples, D.C.
• Bridget M Ward, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Stamford, CT
• Providers in Stamford, 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 Jul 28, 2026; 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.