AMY LANE APRN L.L.C. NPI 1548681786

NPI Information

NPI: 1548681786
Provider Name: AMY LANE APRN, L.L.C.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
410 SALEM TPKE
BOZRAH, CT
ZIP 06334
Phone: (860) 823-0245
Get Directions

AMY LANE APRN, L.L.C. is a mental health (including community mental health center) clinic center in Bozrah, CT. AMY LANE APRN, L.L.C. NPI is 1548681786. The provider is registered as an organization entity type.

The provider's business location address is:

410 SALEM TPKE
BOZRAH, CT
ZIP 06334-519
Phone: (860) 823-0245
Fax: (860) 213-8350

The provider's authorized official is Amy Michelle Lane .
The authorized official title is Aprn and has the following contact phone number (860) 823-0245.

The enumeration date for this NPI number is 12/13/2013 and was last updated on 4/2/2014.

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	261QM0850X	Clinic/Center	Adult Mental Health	002158	CONNECTICUT	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	002158	CONNECTICUT	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	002158	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
1	500000779	MEDICARE OSCAR/CERTIFICATION	CONNECTICUT
2	S76953	MEDICARE UPIN	CONNECTICUT
3	004236346	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »