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COGNIVIA CARE LLC
NPI 1053105411
Nurse Practitioner - Psychiatric/Mental Health in Manchester, CT

Active since April 08, 2025
903 MAIN ST, MANCHESTER, CT 06040(860) 854-4733 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 30, 2025, Apr 8, 2025 (2 updates tracked since 2025).

About Cognivia Care Llc NPPES

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

COGNIVIA CARE LLC (NPI 1053105411) is a healthcare organization registered as a psychiatric/mental health in Manchester, Connecticut and active in the NPI registry since April 2025. The organization lists Kerisha S Prince, Owner, as its authorized official.

NPPES Registry Identity

NPI1053105411
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCOGNIVIA CARE LLC
Location Address903 MAIN STManchester, CT 06040-6008
Mailing Address903 Main StManchester, CT 06040-6008
Phone(860) 854-4733
Organization SubpartNo
Authorized OfficialKerisha S PrinceOwner · (718) 201-9840
Enumeration DateApril 8, 2025
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
✔ NPI 1053105411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
903 MAIN ST, Manchester, CT 06040
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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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHANNA AMARO
Home Health Aide
903 MAIN ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 984-2088
LOVE YOUR LIFE LLC
Counselor (Addiction (Substance Use Disorder))
903 MAIN ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 877-6124
GRACE HEALTH PLLC
Nurse Practitioner (Family)
903 MAIN ST
MANCHESTER, CT 06040
Capitol Planning Region (959) 235-3192

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 Cognivia Care LLC's NPI number?

The NPI number for Cognivia Care LLC is 1053105411. It was assigned to this organization in the NPPES registry on April 8, 2025.

Where is Cognivia Care LLC located?

Cognivia Care LLC is located at 903 Main St, Manchester, CT 06040. The listed phone number is (860) 854-4733.

What is Cognivia Care LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Cognivia Care LLC was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.