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KELLY THERESA TOBIN
NPI 1164072062
Nurse Practitioner - Psychiatric/Mental Health in Enfield, CT

Active since September 13, 2019
153 HAZARD AVE, ENFIELD, CT 06082(860) 253-5020 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2021, Jan 7, 2020, Sep 13, 2019 (3 updates tracked since 2019).

About Kelly Theresa Tobin NPPES

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

KELLY THERESA TOBIN (NPI 1164072062) is an individual psychiatric/mental health provider in Enfield, Connecticut, licensed in Connecticut (009549) and active in the NPI registry since September 2019. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164072062
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY THERESA TOBIN
Location Address153 HAZARD AVEEnfield, CT 06082-4592
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1587 · (860) 697-3351
Phone(860) 253-5020
Sole ProprietorYes
Enumeration DateSeptember 13, 2019
Last NPPES UpdateMarch 2, 20213 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1164072062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 009549
Also ListedRegistered NurseTaxonomy 163W00000X · License 084503 (CT)
153 HAZARD AVE, Enfield, CT 06082
Open in Google Maps ↗

Secondary Practice Locations 2

Location 135 Madsen RdWest Hartford, CT 06110-2504 · Phone (860) 305-3225
Location 21491 Main StWillimantic, CT 06226-1914 · Phone (860) 456-3215

Other Providers at the Same Location NPPES 20

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

SHALIAR DREW
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
JULIANNE BERNSTEIN
Student in an Organized Health Care Education/Training Program
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
MEILINE SMITH
Marriage & Family Therapist
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
MONICA E CRIMMINS
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571
KEVIN LENIART
Counselor
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
AMY KINGSBURY
Counselor
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 731-5522
ALEXA A LIUCCI
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571
JOHN A TINNIRELLA
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571

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 Kelly Tobin's NPI number?

The NPI number for Kelly Tobin is 1164072062. It was assigned to this individual provider in the NPPES registry on September 13, 2019.

Where is Kelly Tobin located?

Kelly Tobin practices at 153 Hazard Ave, Enfield, CT 06082. The listed phone number is (860) 253-5020.

What is Kelly Tobin'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 Kelly Tobin was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.