STAT PSYCH NPI 1093526790

NPI Information

  • NPI: 1093526790
  • Provider Name: STAT PSYCH
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 300 PLAZA MIDDLESEX
    MIDDLETOWN, CT
    ZIP 06457
  • Phone: (203) 308-5805

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NPI Details

STAT PSYCH is a psychiatric/mental health nurse practitioner in Middletown, CT. STAT PSYCH NPI is 1093526790. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 PLAZA MIDDLESEX
MIDDLETOWN, CT
ZIP 06457-455
Phone: (203) 308-5805

The provider's authorized official is Meredith Bailey .
The authorized official title is Owner and has the following contact phone number (203) 308-5805.

The enumeration date for this NPI number is 1/14/2025 and was last updated on 1/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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