NPIMap

Organization Active NPI

203 Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Prospect, CT
National Provider Identifier
1821723677
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
203 PSYCHIATRY LLC
Practice address
33 Union City Rd Ste 2D
Prospect, CT 06712-1550
Phone
(843) 267-8781
NPI assigned
Jul 17, 2022
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Ashley Taylor Sprague
Title
Office Manager
Phone
(843) 267-8781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

33 Union City Rd Ste 2D
Prospect, CT 06712-1550

Mailing address

104 Waverly Way Apt 2
Minot AFB, ND 58704-1072
Phone (843) 267-8781

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office@203-psychiatry.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1821723677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WAVERLY WAY APT 2",
            "city": "MINOT AFB",
            "state": "ND",
            "postal_code": "587041072",
            "telephone_number": "843-267-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UNION CITY RD STE 2D",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121550",
            "telephone_number": "843-267-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "203 PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-17",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "843-267-8781"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@203-psychiatry.com",
            "affiliation": "N",
            "endpointDescription": "secure office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "33 Union City Rd Ste 2D",
            "city": "Prospect",
            "state": "CT",
            "country_code": "US",
            "postal_code": "067121550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.