CONNECTION PSYCHIATRY, PLLC
NPI 1780263384
Nurse Practitioner - Psychiatric/Mental Health in Bloomington, IL

Active since April 02, 2021
1709 JUMER DR, BLOOMINGTON, IL 61704(309) 463-5800(833) 914-2704 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Connection Psychiatry, Pllc NPPES

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

CONNECTION PSYCHIATRY, PLLC (NPI 1780263384) is a healthcare organization registered as a psychiatric/mental health in Bloomington, Illinois and active in the NPI registry since April 2021. The organization lists Melinda Roth, Owner, as its authorized official.

NPPES Registry Identity

NPI1780263384
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCONNECTION PSYCHIATRY, PLLC
Location Address1709 JUMER DRBloomington, IL 61704-0914
Mailing Address1709 Jumer DrBloomington, IL 61704-0914 · (309) 463-5800 · Fax (833) 914-2704
Fax(833) 914-2704
Organization SubpartNo
Authorized OfficialMelinda RothOwner · (815) 343-9382
Enumeration DateApril 2, 2021
Last NPPES UpdateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
NPI 1780263384 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
1709 JUMER DR, Bloomington, IL 61704

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 6

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

Radiology (Diagnostic Radiology)
1709 JUMER DR, SUITE B
BLOOMINGTON, IL 61704
Specialist
1709 JUMER DR, SUITE B
BLOOMINGTON, IL 61704
Clinic/Center (Sleep Disorder Diagnostic)
1709 JUMER DR
BLOOMINGTON, IL 61704
Counselor (Mental Health)
1709 JUMER DR
BLOOMINGTON, IL 61704
Counselor (Professional)
1709 JUMER DR
BLOOMINGTON, IL 61704
Nurse Practitioner (Psychiatric/Mental Health)
1709 JUMER DR
BLOOMINGTON, IL 61704

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 Connection Psychiatry, PLLC's NPI number?

The NPI number for Connection Psychiatry, PLLC is 1780263384. It was assigned to this organization in the NPPES registry on April 2, 2021.

Where is Connection Psychiatry, PLLC located?

Connection Psychiatry, PLLC is located at 1709 Jumer Dr, Bloomington, IL 61704. The listed phone number is (309) 463-5800.

What is Connection Psychiatry, 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 Connection Psychiatry, PLLC was last updated on February 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.