FIVE CORNERS BEHAVIORAL HEALTH
NPI 1356010243
Nurse Practitioner - Psychiatric/Mental Health in Farmington, CT

Q: What is Five Corners Behavioral Health, LLC's NPI number?

The NPI number for Five Corners Behavioral Health, LLC is 1356010243. It was assigned to this organization in the NPPES registry on September 13, 2021. The provider is doing business as Five Corners Behavioral Health.

Q: What is Five Corners Behavioral Health, LLC's specialty?

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

Active since September 13, 2021

115 BIRDSEYE RD, FARMINGTON, CT 06032(860) 205-7416(860) 678-9306 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2022, Sep 13, 2021 (2 updates tracked since 2021).

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About Five Corners Behavioral Health NPPES

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

FIVE CORNERS BEHAVIORAL HEALTH (NPI 1356010243) is a healthcare organization registered as a psychiatric/mental health in Farmington, Connecticut and active in the NPI registry since September 2021. The organization lists Martha J Stewart, Nurse Practioionter, as its authorized official.

NPPES Registry Identity

NPI1356010243

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameFIVE CORNERS BEHAVIORAL HEALTH, LLC

Location Address115 BIRDSEYE RDFarmington, CT 06032-2481

Mailing Address115 Birdseye RdFarmington, CT 06032-2481 · (860) 205-7416 · Fax (860) 678-9308

Phone(860) 205-7416

Fax(860) 678-9306

Organization SubpartNo

Authorized OfficialMartha J StewartNurse Practioionter · (860) 205-7416

Enumeration DateSeptember 13, 2021

Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration

NPPES CertifiedAugust 10, 2022

✔ NPI 1356010243 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

115 BIRDSEYE RD, Farmington, CT 06032

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Other Names 1

Doing Business AsFive Corners Behavioral Health

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)

Five Corners Behavioral Health 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 Five Corners Behavioral Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Martha Stewart, APRN

Nurse Practitioner

NPI 1598132581

115 BIRDSEYE RD
Farmington, CT 06032

(860) 205-7416

✔ PECOSSame address

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 Five Corners Behavioral Health, LLC's NPI number?

The NPI number for Five Corners Behavioral Health, LLC is 1356010243. It was assigned to this organization in the NPPES registry on September 13, 2021. The provider is doing business as Five Corners Behavioral Health.

Where is Five Corners Behavioral Health, LLC located?

Five Corners Behavioral Health, LLC is located at 115 Birdseye Rd, Farmington, CT 06032. The listed phone number is (860) 205-7416.

What is Five Corners Behavioral Health, LLC's specialty?

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

Is Five Corners Behavioral Health, LLC enrolled in Medicare?

Yes. Five Corners Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Five Corners Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Five Corners Behavioral Health, 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 Five Corners Behavioral Health, LLC was last updated on August 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.