Individual provider Active NPI

Sanh Angkhavong, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rocky Hill, CT
National Provider Identifier
1962855882
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6534 Issued in CT
Practice address
2275 Silas Deane Hwy
Rocky Hill, CT 06067-2329
Phone
(860) 996-1569
Fax
(860) 257-7999
NPI assigned
Jul 15, 2016
Last updated
Nov 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6534 CT Primary

Addresses

Primary practice location

2275 Silas Deane Hwy
Rocky Hill, CT 06067-2329

Mailing address

500 Blue Hills Ave
Hartford, CT 06112-1500
Phone (860) 714-2000

Other practice location 1

500 Blue Hills Ave
Hartford, CT 06112-1500
Phone (860) 714-2000

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
I20161207000929 CT Practitioner - Nurse Practitioner 8921388026 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6534CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Connecticut Behavioral Health LLC Psychiatric/Mental Health CurrentSince Sep 22, 2025 Accepting new patients
The Connection Inc. Past Accepting new patients

Locations

2257 Silas Deane Hwy
Ste 6
Rocky Hill, CT 06067
Phone (860) 736-4140

2275 Silas Deane Hwy
Rocky Hill, CT 06067
Phone (860) 257-7405

Interoperability endpoints

  • Direct secure messaging: sangkhavong2386783@direct.trinity-health.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1962855882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLUE HILLS AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061121500",
            "telephone_number": "860-714-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672329",
            "telephone_number": "860-996-1569",
            "fax_number": "860-257-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Blue Hills Ave",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061121500",
            "country_code": "US",
            "telephone_number": "860-714-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGKHAVONG",
        "first_name": "SANH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-15",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "6534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

Verify at the official NPI Registry.