Arthur James Anderson, LCSW, RN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Bridgeport, CT
NPI 1841900305 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1841900305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 13547 (CT)
- Practice address
- 267 Grant St
Bridgeport, CT 06610-2805 - Phone
- (203) 494-0499
- NPI assigned
- Nov 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
Hospital & facility affiliations
- Bridgeport Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240930003618 | CT | Practitioner - Nurse Practitioner | 0042741134 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11179 | CT | MD | Clinical Social Worker |
| 13547 | CT | MD | Endodontist |
| 197887 | CT | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Clinical | Current |
Accepting new patients |
| Northeast Medical Group Inc | Current |
Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 197887 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 13547 | CT | Yes |
| Nurse Practitioner | 363L00000X | 13547 | CT | |
| Clinical Social Worker | 1041C0700X | 11179 | CT |
Addresses
Primary practice location
267 Grant St
Bridgeport, CT 06610-2805
Mailing address
494 Newfield Rd
Torrington, CT 06790-2807
Phone (203) 494-0499
Other practice location 1
40 Main St Ste 16
Torrington, CT 06790-5340
Phone (203) 718-6513
Other providers in Bridgeport, CT
- Nicole Marie Anastasio
- Nidhi Anand Anchan
- Alaina Andersen
- Mishelle Diane Andersen
- Angela Marie Anderson
- Michaela Colleen Anderson
- Tiffany Lee Andino
- Miriam F Andrade
- Nicolas Andrea
- Mark Christopher Andreae
All providers in Bridgeport, CT · Psychiatric/Mental Health Nurse Practitioner in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.