Individual provider Active NPI

Damien Joseph Nuzzo, PMNHP-BC, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Wallingford, CT
National Provider Identifier
1821896911
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
14511 Issued in CT
Practice address
80 S Ridgeland Rd
Wallingford, CT 06492-2923
Phone
(203) 269-8426
NPI assigned
Mar 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14511 CT Primary

Addresses

Primary practice location

80 S Ridgeland Rd
Wallingford, CT 06492-2923

Mailing address

80 S Ridgeland Rd
Wallingford, CT 06492-2923
Phone (203) 269-8426

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251202002125 CT Practitioner - Nurse Practitioner 0749773489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
WCT Behavioral Health and Medication Management PLLCGroup PAC ID 8820480734, 30 clinicians

Practice addresses (Care Compare)

211 Schraffts Dr
Lowr Level
Waterbury, CT 06705-3222
Phone (203) 518-8218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14511CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WCT Behavioral Health & Medication Management PLLC CurrentSince Oct 23, 2025 Accepting new patients

Locations

211 Schraffts Dr
Lowr
Waterbury, CT 06705
Phone (203) 518-8218

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1821896911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S RIDGELAND RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922923",
            "telephone_number": "203-269-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S RIDGELAND RD",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922923",
            "telephone_number": "203-269-8426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUZZO",
        "first_name": "DAMIEN",
        "middle_name": "JOSEPH",
        "credential": "PMNHP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "14511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

Verify at the official NPI Registry.