INTEGRATED BEHAVIORAL HEALTH PC
NPI 1104302033
Nurse Practitioner - Psychiatric/Mental Health in Cromwell, CT

Active since July 13, 2018
80 SHUNPIKE RD STE 101-B2, CROMWELL, CT 06416(860) 424-6042 Get Directions Write a Review

NPPES record last updated: July 4, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 4, 2019, Sep 21, 2018, Jul 13, 2018 (3 updates tracked since 2018).

About Integrated Behavioral Health Pc NPPES

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

INTEGRATED BEHAVIORAL HEALTH PC (NPI 1104302033) is a healthcare organization registered as a psychiatric/mental health in Cromwell, Connecticut and active in the NPI registry since July 2018. The organization lists Michelle Nwigwe, Aprn, Owner, as its authorized official.

NPPES Registry Identity

NPI1104302033
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINTEGRATED BEHAVIORAL HEALTH PC
Location Address80 SHUNPIKE RD STE 101-B2Cromwell, CT 06416-4401
Mailing Address80 Shunpike Rd Ste 101-b2Cromwell, CT 06416-4401 · (860) 424-6042
Organization SubpartNo
Authorized OfficialMichelle NwigweAprn, Owner · (860) 424-6042
Enumeration DateJuly 13, 2018
Last NPPES UpdateJuly 4, 20193 updates tracked since enumeration
✔ NPI 1104302033 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
License✔ Licensed in CT · 4747
80 SHUNPIKE RD STE 101-B2, Cromwell, CT 06416

Other Identifiers 1

Other4747CT · License

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrated Behavioral Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Integrated Behavioral Health PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1396024725
80 SHUNPIKE RD STE 101-B2
Cromwell, CT 06416
(860) 424-6042
✔ PECOSSame address

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 Integrated Behavioral Health PC's NPI number?

The NPI number for Integrated Behavioral Health PC is 1104302033. It was assigned to this organization in the NPPES registry on July 13, 2018.

Where is Integrated Behavioral Health PC located?

Integrated Behavioral Health PC is located at 80 Shunpike Rd Ste 101-B2, Cromwell, CT 06416. The listed phone number is (860) 424-6042.

What is Integrated Behavioral Health PC's specialty?

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

Is Integrated Behavioral Health PC enrolled in Medicare?

Yes. Integrated Behavioral Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrated Behavioral Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Integrated Behavioral Health PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrated Behavioral Health PC was last updated on July 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.