Shaylice Michelle Meserole, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

6406 Issued in CT

Practice address

22 Selden St
Woodbridge, CT 06525-2218

Phone

(312) 696-9321

Fax

(203) 971-5497

NPI assigned

Dec 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, MI, TX3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• American Indian Health and Family Services of Southeastern Mi Inc

  • Federally Qualified Health Center (FQHC)
  • Detroit, MI
  • NPI 1366552804

  MI

  Medicare reassignment NPD
• Lac Vieux Desert Band of Lake Superior Chippewa Indians

  • Federally Qualified Health Center (FQHC)
  • Watersmeet, MI
  • NPI 1114071578

  TX

  Medicare reassignment NPD
• Southlake Community Mental Health Center Inc.

  • Clinic/Center
  • Merrillville, IN
  • NPI 1821081290

  IN

  Medicare reassignment NPD
• Lifespan Collaborative Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, CT
  • NPI 1013395466

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1912372350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SELDEN ST",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252218",
            "telephone_number": "312-696-9321",
            "fax_number": "203-971-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SELDEN ST",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252218",
            "telephone_number": "312-696-9321",
            "fax_number": "203-971-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESEROLE",
        "first_name": "SHAYLICE",
        "middle_name": "MICHELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "116134",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "6406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Mazaleski, BCBA
• Irene McKenna
• Medical Oncology & Hematology, PC
• Meet Me There Clinical Counseling LLC
• Luke Melsenti, DC
• Michel Jean-Baptiste, MD, LLC
• Erin Michelle Migliaro, APRN
• Michele Mikaelian, RPH
• Aimee Millard
• Jane C Milligan, APRN

• All providers in Woodbridge, CT
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.