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PSYCHIATRIC MEDICINE CENTER, PC
NPI 1376692111
Nurse Practitioner - Psychiatric/Mental Health in New London, CT

Active since January 10, 2007
501 OCEAN AVE, NEW LONDON, CT 06320(860) 442-6364(860) 447-9977 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Psychiatric Medicine Center, Pc NPPES

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

PSYCHIATRIC MEDICINE CENTER, PC (NPI 1376692111) is a healthcare organization registered as a psychiatric/mental health in New London, Connecticut and active in the NPI registry since January 2007. The organization lists Pamela Graves, Credentialer, as its authorized official.

NPPES Registry Identity

NPI1376692111
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePSYCHIATRIC MEDICINE CENTER, PC
Location Address501 OCEAN AVENew London, CT 06320-4521
Mailing Address501 Ocean AveNew London, CT 06320-4521 · (860) 442-6364 · Fax (860) 447-9977
Phone(860) 442-6364
Fax(860) 447-9977
Organization SubpartNo
Authorized OfficialPamela GravesCredentialer · (860) 442-6364
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376692111 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
501 OCEAN AVE, New London, CT 06320
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN A MCCAFFREY LCSW
Social Worker (Clinical)
501 OCEAN AVE, PSYCHIATRIC MEDICINE CENTER
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-6364
PSYCHIATRIC MEDICINE CENTER PC
Psychiatry & Neurology (Psychiatry)
501 OCEAN AVE, PSYCHIATRIC MEDICINE CENTER PC
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-6364
MR. GARY JOHN FOX MSW LCSW
Social Worker (Clinical)
501 OCEAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-6364
PSYCHIATRIC MEDICINE CENTER, PC
Psychiatry & Neurology (Psychiatry)
501 OCEAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-6364
IRIS JUNE BERNAU MSW LCSW ACSW BCD
Social Worker (Clinical)
501 OCEAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-6364
PSYCHIATRIC MEDICINE CENTER, PC
Social Worker (Clinical)
501 OCEAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-6364
PSYCHIATRIC MEDICINE CENTER, PC
Counselor (Mental Health)
501 OCEAN AVE
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 442-6364

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 Psychiatric Medicine Center, PC's NPI number?

The NPI number for Psychiatric Medicine Center, PC is 1376692111. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Psychiatric Medicine Center, PC located?

Psychiatric Medicine Center, PC is located at 501 Ocean Ave, New London, CT 06320. The listed phone number is (860) 442-6364.

What is Psychiatric Medicine Center, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Psychiatric Medicine Center, PC 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.