Lisa Mattern, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10883 Issued in CT

Practice address

116 Montowese St
Branford, CT 06405-3871

Phone

(203) 654-6915

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Peace of Mind Mental Health Services PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Branford, CT
  • NPI 1346946480
  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1912626508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MUNGERTOWN RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432259",
            "telephone_number": "203-654-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MONTOWESE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053871",
            "telephone_number": "203-654-6915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Mungertown Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "CT",
            "postal_code": "064432259",
            "country_code": "US",
            "telephone_number": "203-654-6915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "LISA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "10883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buffy L. Maselli, LCSW
• Michele Lynn Mashia, LCSW
• Lisa Mastriano
• Samantha Lynn Mathur, RD
• Pamela Jill Matican, LCSW
• Justin Maurizio, DPT
• Sloane Palma Maymon
• Rowland B Mayor, M.D.
• MBS Wellness
• Emily McAllister, PHARMD.

• Psychiatric/Mental Health Nurse Practitioner in Branford, CT
• Providers in Branford, CT by specialty
• 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 31, 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.