Individual provider Active NPI

Candice T Pych, APRN

  • Family Nurse Practitioner
  • Manchester, CT
National Provider Identifier
1871563098
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
002902 Issued in CT
Practice address
945 Main St Ste 202203
Manchester, CT 06040-6064
Phone
(860) 871-6710
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 002902 CT
Family Nurse Practitioner 363LF0000X 002902 CT Primary

Addresses

Primary practice location

945 Main St Ste 202203
Manchester, CT 06040-6064

Mailing address

272 Main St
Manchester, CT 06042-3536
Phone (860) 646-8044

Other practice location 1

272 Main St
Manchester, CT 06042-3536
Phone (860) 646-8044

Other identifiers 1

IdentifierTypeStateIssuer
004239217MedicaidCT

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
I20101118000026 CT Practitioner - Nurse Practitioner 8426244344 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Health AssociatesGroup PAC ID 5294190245, 3 clinicians

Practice addresses (Care Compare)

6 Fieldstone CMNS
Suite D
Tolland, CT 06084-3419
Phone (860) 871-6710

Hospital & facility affiliations

  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Health Associates CurrentSince Mar 1, 2023 Accepting new patients
Medical Access P.C. Current Accepting new patients
Klipstein Medical Group PC Current Accepting new patients
Prospect CT Medical Foundation, Inc. CurrentSince Sep 1, 2016 Accepting new patients
Oak North PastSince Dec 13, 2022 Accepting new patients

Locations

1801 W Olympic Blvd
#2201
Pasadena, CA 91199

18 Haynes St
Uppr
Manchester, CT 06040
Phone (860) 649-7557

945 Main St
Ste 202203
Manchester, CT 06040
Phone (860) 432-3447

272 Main St
Manchester, CT 06042
Phone (860) 432-2100

773 Main St
Manchester, CT 06040
Phone (860) 870-1300

25 Oakland Rd
Ste 1
South Windsor, CT 06074
Phone (860) 242-8756

6 Fieldstone Cmns
Ste D
Tolland, CT 06084
Phone (860) 871-6710

6 Fieldstone Cmns
#D
Tolland, CT 06084

Interoperability endpoints

  • Direct secure messaging: candicepych@mpp.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1871563098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060423536",
            "telephone_number": "860-646-8044",
            "fax_number": "860-643-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 MAIN ST STE 202203",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406064",
            "telephone_number": "860-871-6710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "272 Main St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "CT",
            "postal_code": "060423536",
            "country_code": "US",
            "telephone_number": "860-646-8044",
            "fax_number": "860-643-4891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYCH",
        "first_name": "CANDICE",
        "middle_name": "T",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "002902",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "002902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004239217",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

Verify at the official NPI Registry.