Cognivia Care LLC
Nurse Practitioner, Psych/Mental Health in Manchester, Connecticut
1053105411- Practice location
- 903 Main St, Manchester, CT 06040-6008
- Phone
- 860-854-4733
- Fax
- —
- Last updated
- May 30, 2025
Cognivia Care LLC is a healthcare organization based in Manchester, CT. Cognivia Care LLC practices in Manchester, CT. The NPI Number for Cognivia Care LLC is 1053105411. The current practice location address for Cognivia Care LLC is 903 Main St, Manchester, CT 06040-6008 and can be reached out via phone at 860-854-4733.
Provider Profile Details
- NPI Number
- 1053105411
- Provider Name
- Cognivia Care LLC
- Provider Entity Type
- Organization
- Address
- 903 Main St, Manchester, CT 06040-6008
- Phone Number
- 860-854-4733
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Kerisha S Prince, PMHNP · Owner · 718-201-9840
- Provider Enumeration Date
- April 8, 2025
- Last Update Date
- May 30, 2025
- Certification Date
- May 30, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 903 Main St
Manchester, CT 06040-6008 - City
- Manchester
- State
- Connecticut
- Zip
- 06040-6008
- Phone Number
- 860-854-4733
Provider Business Mailing Address Details
- Address
- 903 Main St
Manchester, CT 06040-6008 - City
- Manchester
- State
- CT
- Zip
- 06040-6008
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cognivia Care LLC?
The NPI number of Cognivia Care LLC is 1053105411. It was assigned on April 8, 2025 and is currently active in the NPPES registry.
What is the specialty of Cognivia Care LLC?
Cognivia Care LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Cognivia Care LLC practice?
The practice location is 903 Main St, Manchester, CT 06040-6008. The office can be reached at 860-854-4733 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053105411 directly on the NPPES registry website.