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MEDOPTIONS BEHAVIORAL HEALTH ASSOCIATES
NPI 1174727978
Nurse Practitioner in Old Saybrook, CT

Active since June 14, 2007
20 RESEARCH PKWY, OLD SAYBROOK, CT 06475(860) 510-0888(860) 510-0020 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medoptions Behavioral Health Associates NPPES

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

MEDOPTIONS BEHAVIORAL HEALTH ASSOCIATES (NPI 1174727978) is a healthcare organization registered as a nurse practitioner in Old Saybrook, Connecticut and active in the NPI registry since June 2007. The organization lists Kelly Johnson, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1174727978
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMEDOPTIONS BEHAVIORAL HEALTH ASSOCIATES
Location Address20 RESEARCH PKWYOld Saybrook, CT 06475-4214
Mailing Address20 Research PkwyOld Saybrook, CT 06475-4214 · (860) 510-0888 · Fax (860) 510-0020
Phone(860) 510-0888
Fax(860) 510-0020
Organization SubpartNo
Authorized OfficialKelly JohnsonCredentialing Coordinator · (860) 510-0888
Enumeration DateJune 14, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174727978 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.
20 RESEARCH PKWY, Old Saybrook, CT 06475
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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

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.

PATRICIA A COLELLA LCSW
Social Worker (Clinical)
20 RESEARCH PKWY, SUITE C
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (800) 370-3651
CATHERINE CATTI APRN
Nurse Practitioner (Psychiatric/Mental Health)
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (800) 370-3651
LARRY WESTON SHOBE LCSW
Social Worker (Clinical)
20 RESEARCH PKWY, SUITE C
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (800) 370-3651
MRS. MARIA ANNE BELVAL LCSW
Social Worker (Clinical)
20 RESEARCH PKWY, MEDOPTIONS BEHAVIORAL HEALTH ASSOCIATES LLC
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (800) 370-3651
MARYLOU COWLES APRN
Nurse Practitioner (Family)
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (800) 370-3651
DIANE J GRACEWSKI LICSW
Social Worker (Clinical)
20 RESEARCH PKWY, C
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (800) 370-3651
CARLA RATTI PHD
Psychologist (Clinical)
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (800) 370-3651
DANIL ANISIMOV
Nurse Practitioner (Psychiatric/Mental Health)
20 RESEARCH PKWY
OLD SAYBROOK, CT 06475
Lower Connecticut River Valley Planning Region (800) 370-3651

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 Medoptions Behavioral Health Associates's NPI number?

The NPI number for Medoptions Behavioral Health Associates is 1174727978. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Medoptions Behavioral Health Associates located?

Medoptions Behavioral Health Associates is located at 20 Research Pkwy, Old Saybrook, CT 06475. The listed phone number is (860) 510-0888.

What is Medoptions Behavioral Health Associates's specialty?

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

When was this NPI record last updated?

The NPPES record for Medoptions Behavioral Health Associates was last updated on August 22, 2020. 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.