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
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

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.

Medicare enrollment records 1

Medicare enrollment files
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

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

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

Interoperability endpoints

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2025.

{
    "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.