DR. TERENCE S TUMENTA MD, MPH
NPI 1679128052
Psychiatry & Neurology - Psychiatry in New Haven, CT

Active since August 02, 2019PECOS EnrolledAccepts Medicare Assignment
1 LONG WHARF DR, NEW HAVEN, CT 06511(203) 974-5777 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 26, 2024, Apr 2, 2024, Aug 2, 2019 (3 updates tracked since 2019).

About Dr. Terence S Tumenta Md, Mph NPPES

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

DR. TERENCE S TUMENTA MD, MPH (NPI 1679128052) is an individual psychiatry provider in New Haven, Connecticut, licensed in Connecticut (73231) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679128052
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TERENCE S TUMENTACredential: MD, MPH
Location Address1 LONG WHARF DRNew Haven, CT 06511-5991
Mailing Address1 Long Wharf DrNew Haven, CT 06511-5991 · (203) 974-5777 · Fax (203) 974-5790
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 2, 2019
Last NPPES UpdateSeptember 26, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
NPI 1679128052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in CT · 73231 Licensed in NC · 2024-00914
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1 LONG WHARF DR, New Haven, CT 06511

Secondary Practice Locations 2

Location 11545 Atlantic AveBrooklyn, NY 11213-1122 · Phone (718) 613-4000
Location 24420 Lake Boone TrlRaleigh, NC 27607-7505 · Phone (919) 784-3100

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Terence S Tumenta Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052773751
PECOS Enrollment IDI20240924000938
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
27 services13 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
1 LONG WHARF DR, YNHH PEDIATRIC DENTISTRY, STE 403
NEW HAVEN, CT 06511
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
Internal Medicine
1 LONG WHARF DR
NEW HAVEN, CT 06511
Licensed Practical Nurse
1 LONG WHARF DR
NEW HAVEN, CT 06511
Psychologist
1 LONG WHARF DR, SUITE 7
NEW HAVEN, CT 06511
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
Psychologist (Clinical)
1 LONG WHARF DR, SATU
NEW HAVEN, CT 06511
Psychologist
1 LONG WHARF DR
NEW HAVEN, CT 06511

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 Terence Tumenta's NPI number?

The NPI number for Terence Tumenta is 1679128052. It was assigned to this individual provider in the NPPES registry on August 2, 2019.

Where is Terence Tumenta located?

Terence Tumenta practices at 1 Long Wharf Dr, New Haven, CT 06511. The listed phone number is (203) 974-5777.

What is Terence Tumenta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Terence Tumenta enrolled in Medicare?

Yes. Terence Tumenta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Terence Tumenta accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Terence Tumenta 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.

Is Terence Tumenta affiliated with any hospitals?

According to CMS data, Terence Tumenta is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Terence Tumenta was last updated on September 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.