Kelly T Tobin
Nurse Practitioner, Psych/Mental Health in Enfield, Connecticut
1164072062- Practice location
- 153 Hazard Ave, Enfield, CT 06082-4592
- Phone
- 860-253-5020
- Fax
- —
- Last updated
- March 2, 2021
Kelly Theresa Tobin is a Nurse Practitioner, Psych/Mental Health based in Enfield, CT. Kelly Theresa Tobin practices in Enfield, CT. The NPI Number for Kelly Theresa Tobin is 1164072062 and holds a License No. 084503 (CT). The current practice location address for Kelly Theresa Tobin is 153 Hazard Ave, Enfield, CT 06082-4592 and can be reached out via phone at 860-253-5020.
Provider Profile Details
- NPI Number
- 1164072062
- Provider Name
- Kelly Theresa Tobin
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 153 Hazard Ave, Enfield, CT 06082-4592
- Phone Number
- 860-253-5020
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2019
- Last Update Date
- March 2, 2021
- Certification Date
- March 2, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 153 Hazard Ave
Enfield, CT 06082-4592 - City
- Enfield
- State
- Connecticut
- Zip
- 06082-4592
- Phone Number
- 860-253-5020
Provider Business Mailing Address Details
- Address
- 2 Waterside Xing Ste 401
Windsor, CT 06095-1587 - City
- Windsor
- State
- CT
- Zip
- 06095-1587
- Phone Number
- 860-697-3351
License Information
- License Number (1)
- 084503
- License State (1)
- CT
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 009549
- License State (2)
- CT
- Taxonomy (2)
- 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 Kelly T Tobin?
The NPI number of Kelly T Tobin is 1164072062. It was assigned on September 13, 2019 and is currently active in the NPPES registry.
What is the specialty of Kelly T Tobin?
Kelly T Tobin is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 084503.
Where does Kelly T Tobin practice?
The practice location is 153 Hazard Ave, Enfield, CT 06082-4592. The office can be reached at 860-253-5020 (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 1164072062 directly on the NPPES registry website.