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CONNECTICUT CENTER FOR PSYCHIATRIC WELLNESS LLC
NPI 1245016005
Nurse Practitioner - Family in New Haven, CT

Active since September 06, 2023
136 SHERMAN AVENUE, NEW HAVEN, CT 06511(203) 565-5104(860) 826-4762 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Connecticut Center For Psychiatric Wellness Llc NPPES

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

CONNECTICUT CENTER FOR PSYCHIATRIC WELLNESS LLC (NPI 1245016005) is a healthcare organization registered as a family in New Haven, Connecticut and active in the NPI registry since September 2023. The organization lists Eric W. Voide, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245016005
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCONNECTICUT CENTER FOR PSYCHIATRIC WELLNESS LLC
Location Address136 SHERMAN AVENUENew Haven, CT 06511-5238
Mailing Address92 Macintosh Way, C/o Eric W. VoideSouthington,, CT 06489-2055 · (203) 565-5104 · Fax (860) 826-4762
Phone(203) 565-5104
Fax(860) 826-4762
Organization SubpartNo
Authorized OfficialEric W. VoideCeo · (203) 565-5104
Enumeration DateSeptember 6, 2023
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
✔ NPI 1245016005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
136 SHERMAN AVENUE, New Haven, CT 06511
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Center For Psychiatric Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Connecticut Center For Psychiatric Wellness LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (8)

Deborah Ellison, APRN
Nurse Practitioner
NPI 1356508691
10 PROGRESS DR SUITE 200
Shelton, CT 06484
(203) 538-8004
✔ PECOS✔ Accepts Medicare10 mi
George Costanzo, D.C.
Nurse Practitioner
NPI 1467401802
340 N MAIN ST
Southington, CT 06489
(860) 621-0131
✔ PECOS✔ Accepts Medicare20 mi
Shutish Patel, MD
Neurology
NPI 1447273511
136 WEST MAIN STREET HARTFORD ORTHOPEDIC MEDICINE, PC-FIRST FLOOR
New Britain,, CT 06052
(860) 826-4763
✔ PECOS✔ Accepts Medicare26 mi
Christine Seidell, APRN
Nurse Practitioner
NPI 1639895626
1 PADANARAM RD
Danbury, CT 06811
(203) 456-8086
✔ PECOS✔ Accepts Medicare28 mi
Marta Sarzynski, APRN
Nurse Practitioner
NPI 1134753080
55 CHESTNUT ST
Norwalk, CT 06854
(203) 899-1770
✔ PECOS✔ Accepts Medicare29 mi
Maryfrances Desteno, APRN
Nurse Practitioner
NPI 1922374354
55 HOLLY HILL LN
Greenwich, CT 06830
(203) 863-4210
✔ PECOS✔ Accepts Medicare42 mi
Laura Gabriel, APRN
Nurse Practitioner
NPI 1003388919
531 MAIN ST
Fiskdale, MA 01518
(860) 777-5829
✔ PECOS70 mi
Lawrencia Addo, PMHNP
Nurse Practitioner
NPI 1285928713
5750 BARTS WAY
Frederick, MD 21704
(914) 513-8124
✔ PECOS✔ Accepts Medicare268 mi

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 Connecticut Center For Psychiatric Wellness LLC's NPI number?

The NPI number for Connecticut Center For Psychiatric Wellness LLC is 1245016005. It was assigned to this organization in the NPPES registry on September 6, 2023.

Where is Connecticut Center For Psychiatric Wellness LLC located?

Connecticut Center For Psychiatric Wellness LLC is located at 136 Sherman Avenue, New Haven, CT 06511. The listed phone number is (203) 565-5104.

What is Connecticut Center For Psychiatric Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Connecticut Center For Psychiatric Wellness LLC enrolled in Medicare?

Yes. Connecticut Center For Psychiatric Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Center For Psychiatric Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Connecticut Center For Psychiatric Wellness LLC. 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. The largest specialties are Nurse Practitioner (7) and Neurology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Connecticut Center For Psychiatric Wellness LLC was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.