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PHOENIX RISING PSYCHIATRIC SERVICES PLLC
NPI 1417773094
Nurse Practitioner - Psychiatric/Mental Health in Glastonbury, CT

Active since November 27, 2024
2389 MAIN ST STE 100, GLASTONBURY, CT 06033(203) 632-6239 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Rising Psychiatric Services Pllc NPPES

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

PHOENIX RISING PSYCHIATRIC SERVICES PLLC (NPI 1417773094) is a healthcare organization registered as a psychiatric/mental health in Glastonbury, Connecticut and active in the NPI registry since November 2024. The organization lists Jennifer Richello, Dnp, Pmhnp-bc, Aprn, as its authorized official.

NPPES Registry Identity

NPI1417773094
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX RISING PSYCHIATRIC SERVICES PLLC
Location Address2389 MAIN ST STE 100Glastonbury, CT 06033-4617
Mailing AddressPo Box 4675Wallingford, CT 06492-7568
Phone(203) 632-6239
Organization SubpartNo
Authorized OfficialJennifer RichelloDnp, Pmhnp-bc, Aprn · (203) 632-6239
Enumeration DateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1417773094 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
2389 MAIN ST STE 100, Glastonbury, CT 06033
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MRS. LAURA ELIZABETH GABRIEL APRN
Nurse Practitioner (Psychiatric/Mental Health)
2389 MAIN ST STE 100
GLASTONBURY, CT 06033
Capitol Planning Region (860) 777-5829
SUNRISE INTEGRATIVE HEALTH PLLC
Clinic/Center (Health Service)
2389 MAIN ST STE 100
GLASTONBURY, CT 06033
Capitol Planning Region (860) 370-4186
AIDA V VARGAS HIS
Hearing Instrument Specialist
2389 MAIN ST STE 100
GLASTONBURY, CT 06033
Capitol Planning Region (203) 508-0026
ASPEN PSYCHOLOGICAL CENTER LLC
Psychologist (Clinical)
2389 MAIN ST STE 100
GLASTONBURY, CT 06033
Capitol Planning Region (475) 221-1779
DELTA CBT LLC
Psychologist
2389 MAIN ST STE 100
GLASTONBURY, CT 06033
Capitol Planning Region (904) 588-2751
ENTYRE CARE CONNECTICUT LLC
In Home Supportive Care
2389 MAIN ST STE 100
GLASTONBURY, CT 06033
Capitol Planning Region (617) 320-2253
FHCL PSYCHIATRY LLC
Community/Behavioral Health
2389 MAIN ST STE 100
GLASTONBURY, CT 06033
Capitol Planning Region (203) 694-4771
SMARTYSOULSESSIONS, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
2389 MAIN ST STE 100
GLASTONBURY, CT 06033
Capitol Planning Region (203) 909-8032

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 Rising Psychiatric Services PLLC's NPI number?

The NPI number for Phoenix Rising Psychiatric Services PLLC is 1417773094. It was assigned to this organization in the NPPES registry on November 27, 2024.

Where is Phoenix Rising Psychiatric Services PLLC located?

Phoenix Rising Psychiatric Services PLLC is located at 2389 Main St Ste 100, Glastonbury, CT 06033. The listed phone number is (203) 632-6239.

What is Phoenix Rising Psychiatric Services PLLC'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 Phoenix Rising Psychiatric Services PLLC was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.