Organization Active NPI

Central Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newington, CT
National Provider Identifier
1841904752
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CENTRAL PSYCHIATRY PLLC
Practice address
121 Fenn Rd Ste B
Newington, CT 06111-2250
Phone
(860) 255-8038
NPI assigned
Jan 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Mrs. Holly Halina Hillburn, APRNNPI 1265734842
Title
Managing Member
Phone
(860) 255-8038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

121 Fenn Rd Ste B
Newington, CT 06111-2250

Mailing address

121 Fenn Rd Ste B
Newington, CT 06111-2250
Phone (860) 255-8038

National Provider Directory

National Provider Directory

Locations

121 Fenn Rd
Ste B
Newington, CT 06111
Phone (860) 255-8038

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1841904752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FENN RD STE B",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112250",
            "telephone_number": "860-255-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FENN RD STE B",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112250",
            "telephone_number": "860-255-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "HILLBURN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "HALINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "860-255-8038",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.