MAGNOLIA BEHAVIORAL HEALTH, LLC
NPI 1750973152
Nurse Practitioner - Psychiatric/Mental Health in Madison, CT

Q: What is Magnolia Behavioral Health, LLC's NPI number?

The NPI number for Magnolia Behavioral Health, LLC is 1750973152. It was assigned to this organization in the NPPES registry on February 7, 2021.

Q: What is Magnolia Behavioral Health, LLC's specialty?

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

Active since February 07, 2021

762 BOSTON POST RD FL 2, MADISON, CT 06443(203) 903-9728(844) 440-2333 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2025, Apr 27, 2021, Mar 11, 2021 and 2 more (5 updates tracked since 2021).

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About Magnolia Behavioral Health, Llc NPPES

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

MAGNOLIA BEHAVIORAL HEALTH, LLC (NPI 1750973152) is a healthcare organization registered as a psychiatric/mental health in Madison, Connecticut and active in the NPI registry since February 2021. The organization lists Jessika Ducharme Brasseaux, Owner, as its authorized official.

NPPES Registry Identity

NPI1750973152

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMAGNOLIA BEHAVIORAL HEALTH, LLC

Location Address762 BOSTON POST RD FL 2Madison, CT 06443-3047

Mailing Address50 Brewery St Unit 9138New Haven, CT 06511-5954 · (203) 903-9797 · Fax (844) 440-2333

Phone(203) 903-9728

Fax(844) 440-2333

Organization SubpartNo

Authorized OfficialJessika Ducharme BrasseauxOwner · (203) 903-9797

Enumeration DateFebruary 7, 2021

Last NPPES UpdateFebruary 11, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1750973152 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

762 BOSTON POST RD FL 2, Madison, CT 06443

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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 2

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

KIERSTEN D'AURIA LMFT

Marriage & Family Therapist

762 BOSTON POST RD FL 2
MADISON, CT 06443

South Central Connecticut Planning Region (203) 889-7777

SHORELINE PSYCHOTHERAPY CRISIS AND CONSULTATION CENTER LLC

Social Worker (Clinical)

762 BOSTON POST RD FL 2
MADISON, CT 06443

South Central Connecticut Planning Region (203) 499-7890

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 Magnolia Behavioral Health, LLC's NPI number?

The NPI number for Magnolia Behavioral Health, LLC is 1750973152. It was assigned to this organization in the NPPES registry on February 7, 2021.

Where is Magnolia Behavioral Health, LLC located?

Magnolia Behavioral Health, LLC is located at 762 Boston Post Rd Fl 2, Madison, CT 06443. The listed phone number is (203) 903-9728.

What is Magnolia Behavioral Health, LLC'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 Magnolia Behavioral Health, LLC was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.