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RUBY PSYCHIATRIC SERVICES, PLLC
NPI 1295564425
Nurse Practitioner - Psychiatric/Mental Health in West Hartford, CT

Active since July 27, 2024
125 LASALLE RD STE 300, WEST HARTFORD, CT 06107(860) 494-5884 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, Mar 28, 2025, Jul 27, 2024 (3 updates tracked since 2024).

About Ruby Psychiatric Services, Pllc NPPES

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

RUBY PSYCHIATRIC SERVICES, PLLC (NPI 1295564425) is a healthcare organization registered as a psychiatric/mental health in West Hartford, Connecticut and active in the NPI registry since July 2024. The organization maintains a secondary practice location in East Lyme and lists James Granville Martin, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1295564425
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameRUBY PSYCHIATRIC SERVICES, PLLC
Location Address125 LASALLE RD STE 300West Hartford, CT 06107-2311
Mailing Address225 Boston Post Rd Unit 38East Lyme, CT 06333-7002 · (860) 494-5884
Phone(860) 494-5884
Organization SubpartNo
Authorized OfficialJames Granville MartinGeneral Counsel · (860) 494-5884
Enumeration DateJuly 27, 2024
Last NPPES UpdateApril 10, 20263 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1295564425 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
125 LASALLE RD STE 300, West Hartford, CT 06107
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Secondary Practice Location 1

Location 1225 Boston Post Rd Unit 38East Lyme, CT 06333-7002 · Phone (860) 494-5884

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Ruby Psychiatric Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ruby Psychiatric Services, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Trina Martin, APRN
Nurse Practitioner
NPI 1942665443
125 LASALLE RD STE 300
West Hartford, CT 06107
(518) 598-5220
✔ PECOS✔ Accepts MedicareSame address
Marah Koprowski, PMHNP-BC
Nurse Practitioner
NPI 1356292395
222 MAIN ST UNIT 143
Great Barrington, MA 01230
(619) 985-2122
✔ PECOS44 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 Ruby Psychiatric Services, PLLC's NPI number?

The NPI number for Ruby Psychiatric Services, PLLC is 1295564425. It was assigned to this organization in the NPPES registry on July 27, 2024.

Where is Ruby Psychiatric Services, PLLC located?

Ruby Psychiatric Services, PLLC is located at 125 Lasalle Rd Ste 300, West Hartford, CT 06107. The listed phone number is (860) 494-5884.

What is Ruby Psychiatric Services, PLLC's specialty?

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

Is Ruby Psychiatric Services, PLLC enrolled in Medicare?

Yes. Ruby Psychiatric Services, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ruby Psychiatric Services, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ruby Psychiatric Services, PLLC. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ruby Psychiatric Services, PLLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.