HOPE BEHAVIORAL WELLNESS LLC
NPI 1245055383
Nurse Practitioner - Psychiatric/Mental Health in Bloomfield, CT
About Hope Behavioral Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOPE BEHAVIORAL WELLNESS LLC (NPI 1245055383) is a healthcare organization registered as a psychiatric/mental health in Bloomfield, Connecticut and active in the NPI registry since November 2024. The organization lists Dorrett Yvette Black, Pmhnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hope Behavioral Wellness Llc 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 Hope Behavioral Wellness LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Hope Behavioral Wellness LLC's NPI number?
The NPI number for Hope Behavioral Wellness LLC is 1245055383. It was assigned to this organization in the NPPES registry on November 21, 2024.
Where is Hope Behavioral Wellness LLC located?
Hope Behavioral Wellness LLC is located at 1 Bestor Ln, Bloomfield, CT 06002. The listed phone number is (860) 847-0035.
What is Hope Behavioral Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Hope Behavioral Wellness LLC enrolled in Medicare?
Yes. Hope Behavioral Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hope Behavioral Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Hope Behavioral 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hope Behavioral Wellness LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# Hope Behavioral Wellness Llc · NPI 1245055383
Psychiatric/Mental Health organization in Bloomfield, Connecticut. Organization record, active in the CMS NPPES registry since November 21, 2024.
## Identity
- **NPI:** 1245055383 (Entity type: Organization)
- **Enumerated:** November 21, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Dorrett Black, PMHNP
## Practice location
- **Address:** 1 BESTOR LN, Bloomfield, CT 06002-2485
- **Phone:** (860) 847-0035 · **Fax:** (866) 781-4443
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245055383) · Data from the CMS NPPES public registry.