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PHYSICIAN SERVICES OF NORTHEAST CT, LLC
NPI 1669603767
Nurse Practitioner in Putnam, CT

Active since August 06, 2009
320 POMFRET ST, SUITE, CSB2, PUTNAM, CT 06260(860) 928-6541(860) 963-6091 Get Directions Write a Review

NPPES record last updated: December 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physician Services Of Northeast Ct, Llc NPPES

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

PHYSICIAN SERVICES OF NORTHEAST CT, LLC (NPI 1669603767) is a healthcare organization registered as a nurse practitioner in Putnam, Connecticut and active in the NPI registry since August 2009. The organization lists Julie M Drouin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669603767
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePHYSICIAN SERVICES OF NORTHEAST
Location Address320 POMFRET ST, SUITE, CSB2Putnam, CT 06260-1836
Mailing Address320 Pomfret St, Suite Csb#2Putnam, CT 06260-1836 · (860) 928-6541 · Fax (860) 963-6091
Phone(860) 928-6541
Fax(860) 963-6091
Organization SubpartYesParent: Day Kimball Hospital
Authorized OfficialJulie M DrouinCfo · (860) 928-6541
Enumeration DateAugust 6, 2009
Last NPPES UpdateDecember 9, 2010
✔ NPI 1669603767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
320 POMFRET ST, Putnam, CT 06260
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Other Names 1

Doing Business AsPhysician Services Of Northeast Ct, Llc

Other Identifiers 1

Medicare PIND100000012CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

NATCHAUG HOSPITAL
Substance Abuse Rehabilitation Facility
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-6416
DAY KIMBALL HOSPITAL OF WINDHAM COUNTY
Nurse Practitioner
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 928-6541
JENNIFER SALVAS
Counselor (Mental Health)
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-6385
LIVINUS OKAFOR MD
Internal Medicine
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 928-6541
DUC H. LE M.D.
Emergency Medicine
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 928-6541
KIMBERLY J LANE APRN
Nurse Practitioner (Psychiatric/Mental Health)
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 928-6541
MICHELLE LEE LOUCRAFT
Counselor (Mental Health)
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-6385
DAY KIMBALL HEALTHCARE, INC.
Community/Behavioral Health
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-6385

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 Physician Services Of Northeast's NPI number?

The NPI number for Physician Services Of Northeast is 1669603767. It was assigned to this organization in the NPPES registry on August 6, 2009. The provider is doing business as Physician Services Of Northeast Ct, LLC.

Where is Physician Services Of Northeast located?

Physician Services Of Northeast is located at 320 Pomfret St Suite, Csb2, Putnam, CT 06260. The listed phone number is (860) 928-6541.

What is Physician Services Of Northeast's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Physician Services Of Northeast was last updated on December 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.