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MHS PRIMARY CARE
NPI 1104043017
Family Medicine in Old Saybrook, CT

Active since April 20, 2007CLIA 07D0879309 · Microscopy
154 MAIN ST, OLD SAYBROOK, CT 06475(860) 395-1212(860) 358-8654 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mhs Primary Care NPPES

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

MHS PRIMARY CARE (NPI 1104043017) is a healthcare organization registered as a family medicine in Old Saybrook, Connecticut and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through November 18, 2027 and lists Susan Serkey, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1104043017
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMHS PRIMARY CARE
Location Address154 MAIN STOld Saybrook, CT 06475-2373
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 358-4820 · Fax (860) 358-6748
Phone(860) 395-1212
Fax(860) 358-8654
Organization SubpartNo
Authorized OfficialSusan SerkeyPractice Administrator · (860) 358-4802
Enumeration DateApril 20, 2007
Last NPPES UpdateJanuary 20, 2017
✔ NPI 1104043017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
154 MAIN ST, Old Saybrook, CT 06475
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Other Identifiers 5

Medicare PINC02139CT
Medicaid04173259CT
Medicare PINC02187CT
Medicare PINC02326CT
Medicare PINC02243CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 07D0879309

Mhs Primary Care, Inc · Old Saybrook, CT
Active · expires Nov 18, 2027
CLIA Number07D0879309
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorLucinda L. Hautaniemi MD
Laboratory Phone(860) 395-1212
Laboratory LocationMhs Primary Care, Inc154 Main St, Old Saybrook, CT 06475
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

SUZANNE TINGLEY MD
Family Medicine
154 MAIN ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 395-1212
MHS PRIMARY CARE INC
Clinic/Center (Urgent Care)
154 MAIN ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 661-5976
DR. LEONARD G. GUITAR PSY.D.
Psychologist (Clinical)
154 MAIN ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 358-3923
MR. NATHAN WADE SCOTT A.P.R.N.
Nurse Practitioner (Family)
154 MAIN ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 395-1212
MIDDLESEX HOSPITAL
Internal Medicine
154 MAIN ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 358-6394
ALYSSA ANN DUPERRY APRN
Nurse Practitioner (Family)
154 MAIN ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 358-5120
ROBYN C. REILLY APRN, FNP-BC
Nurse Practitioner (Family)
154 MAIN ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 661-5976
LUCINDA L HAUTANIEMI MD
Family Medicine
154 MAIN ST
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (860) 395-1212

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 Mhs Primary Care's NPI number?

The NPI number for Mhs Primary Care is 1104043017. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Mhs Primary Care located?

Mhs Primary Care is located at 154 Main St, Old Saybrook, CT 06475. The listed phone number is (860) 395-1212.

What is Mhs Primary Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mhs Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 07D0879309) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mhs Primary Care was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.