PHOENIX PSYCHIATRY LLC
NPI 1396463303
Clinic/Center in East Hartford, CT
About Phoenix Psychiatry Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHOENIX PSYCHIATRY LLC (NPI 1396463303) is a healthcare organization registered as a clinic/center in East Hartford, Connecticut and active in the NPI registry since August 2022. The organization maintains a secondary practice location in Meriden and lists Anthea Mendez, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phoenix Psychiatry 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 Phoenix Psychiatry 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 Phoenix Psychiatry LLC's NPI number?
The NPI number for Phoenix Psychiatry LLC is 1396463303. It was assigned to this organization in the NPPES registry on August 16, 2022.
Where is Phoenix Psychiatry LLC located?
Phoenix Psychiatry LLC is located at 254 Burnside Ave Ste 4, East Hartford, CT 06108. The listed phone number is (860) 780-4313.
What is Phoenix Psychiatry LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.
Is Phoenix Psychiatry LLC enrolled in Medicare?
Yes. Phoenix Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Phoenix Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Phoenix Psychiatry 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.
What insurance does Phoenix Psychiatry LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Phoenix Psychiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Phoenix Psychiatry LLC was last updated on August 16, 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.
# Phoenix Psychiatry Llc · NPI 1396463303
Clinic/Center organization in East Hartford, Connecticut. Organization record, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1396463303 (Entity type: Organization)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Clinic/Center · taxonomy 261Q00000X
- **Organization subpart:** No
- **Authorized official:** Anthea Mendez, OWNER
## Practice location
- **Address:** 254 BURNSIDE AVE STE 4, East Hartford, CT 06108-2367
- **Phone:** (860) 780-4313
## 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:** August 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396463303) · Data from the CMS NPPES public registry.