Individual provider Active NPI

Ingrid Coello

  • Psychiatric/Mental Health Nurse Practitioner
  • West Haven, CT
National Provider Identifier
1982320925
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11291 Issued in CT
Practice address
764 Campbell Ave Ste E
West Haven, CT 06516-3786
Phone
(203) 931-0034
Fax
(860) 507-9823
NPI assigned
Oct 12, 2022
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 11291 CT Primary

Addresses

Primary practice location

764 Campbell Ave Ste E
West Haven, CT 06516-3786

Mailing address

764 Campbell Ave Ste E
West Haven, CT 06516-3786
Phone (203) 931-0034

Other practice location 1

245 Amity Rd Ste 108
Woodbridge, CT 06525-2256
Phone (203) 397-2227

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
I20230222000666 CT Practitioner - Nurse Practitioner 2365815370 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sevi Cares CT PLLCGroup PAC ID 2668837188, 4 clinicians

Practice addresses (Care Compare)

764 Campbell Ave
Suite E
West Haven, CT 06516-3786
Phone (203) 931-0034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11291CTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sevi Cares CT PLLC Psychiatric/Mental Health CurrentSince Sep 16, 2023 Accepting new patients

Locations

40 Dale Rd
Ste 202
Avon, CT 06001
Phone (203) 931-0034

470 James St
New Haven, CT 06513
Phone (203) 401-8919

764 Campbell Ave
Ste E
West Haven, CT 06516
Phone (203) 931-0034

245 Amity Rd
Ste 108
Woodbridge, CT 06525
Phone (203) 397-2227

Organizations & group practices 3

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": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1982320925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE STE E",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-931-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 CAMPBELL AVE STE E",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163786",
            "telephone_number": "203-931-0034",
            "fax_number": "860-507-9823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 Amity Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065252256",
            "country_code": "US",
            "telephone_number": "203-397-2227",
            "fax_number": "203-389-9313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COELLO",
        "first_name": "INGRID",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "11291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

Verify at the official NPI Registry.