TALLAWAH MENTAL HEALTH ASSOCIATES PLLC
NPI 1043978968
Nurse Practitioner in Bloomfield, CT

Active since December 08, 2021
701 COTTAGE GROVE RD STE D235, BLOOMFIELD, CT 06002(860) 578-8013 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Dec 8, 2021 (2 updates tracked since 2021).

About Tallawah Mental Health Associates Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TALLAWAH MENTAL HEALTH ASSOCIATES PLLC (NPI 1043978968) is a healthcare organization registered as a nurse practitioner in Bloomfield, Connecticut and active in the NPI registry since December 2021. The organization maintains a secondary practice location in South Windsor and lists Zoey Kamara Walker, Owner, as its authorized official.

NPPES Registry Identity

NPI1043978968
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameTALLAWAH MENTAL HEALTH ASSOCIATES PLLC
Location Address701 COTTAGE GROVE RD STE D235Bloomfield, CT 06002-3080
Mailing Address701 Cottage Grove RdBloomfield, CT 06002-3080 · (860) 216-2007
Organization SubpartNo
Authorized OfficialZoey Kamara WalkerOwner · (860) 578-8013
Enumeration DateDecember 8, 2021
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
✔ NPI 1043978968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
701 COTTAGE GROVE RD STE D235, Bloomfield, CT 06002

Secondary Practice Location 1

Location 12701 Tamarack AveSouth Windsor, CT 06074-5562 · Phone (860) 216-2007 · Fax (860) 321-8923

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tallawah Mental Health Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tallawah Mental Health Associates PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1841761731
309 N MAIN ST
West Hartford, CT 06117
(860) 216-2007
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1417416041
40 COVENTRY ST
Hartford, CT 06112
(860) 569-5900
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tallawah Mental Health Associates PLLC's NPI number?

The NPI number for Tallawah Mental Health Associates PLLC is 1043978968. It was assigned to this organization in the NPPES registry on December 8, 2021.

Where is Tallawah Mental Health Associates PLLC located?

Tallawah Mental Health Associates PLLC is located at 701 Cottage Grove Rd Ste D235, Bloomfield, CT 06002. The listed phone number is (860) 578-8013.

What is Tallawah Mental Health Associates PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tallawah Mental Health Associates PLLC enrolled in Medicare?

Yes. Tallawah Mental Health Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tallawah Mental Health Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tallawah Mental Health Associates PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tallawah Mental Health Associates PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Tallawah Mental Health Associates PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tallawah Mental Health Associates PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.