MELINDA SILVA GRANT PMHNP-BC NPI 1407106446

NPI Information

NPI: 1407106446
Provider Name: MELINDA SILVA GRANT, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1 BRADLEY RD
WOODBRIDGE, CT
ZIP 06525
Phone: (203) 463-4555
Get Directions

Melinda Silva Grant, PMHNP-BC is a psychiatric/mental health nurse practitioner in Woodbridge, CT. Melinda Silva Grant, PMHNP-BC NPI is 1407106446. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 BRADLEY RD
WOODBRIDGE, CT
ZIP 06525-285
Phone: (203) 463-4555

The NPI 1407106446 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 9/18/2012 and was last updated on 1/13/2024.

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
1	1041C0700X	Social Worker	Clinical	007898	CONNECTICUT	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	12432	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004235918	MEDICAID	CONNECTICUT

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: 4/28/2024

NPI Synchronization or Removal

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