Active NPIIndividual providerSole proprietor

Ms. Amy L Roode, APRN, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Thompson, Connecticut

NPI Number1710594759
Practice location
75 Church St, Thompson, CT 06277-2609
Fax
860-963-0100
Last updated
December 20, 2022

Amy L Roode is a Nurse Practitioner, Psych/Mental Health based in Thompson, CT. Amy L Roode practices in Thompson, CT and has the professional credentials of APRN, PMHNP-BC. The NPI Number for Amy L Roode is 1710594759 and holds a License No. RN2266726 (MA). The current practice location address for Amy L Roode is 75 Church St, Thompson, CT 06277-2609 and can be reached out via phone at 860-928-5900 and via fax at 860-963-0100.

Provider Profile Details

NPI Number
1710594759
Provider Name
Amy L Roode
Credential
APRN, PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
75 Church St, Thompson, CT 06277-2609
Phone Number
860-928-5900
Fax Number
860-963-0100
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Other Names
Amy L Aho, RN (Former Name)
Provider Enumeration Date
September 24, 2020
Last Update Date
December 20, 2022
Certification Date
December 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Church St
Thompson, CT 06277-2609
Zip
06277-2609
Phone Number
860-928-5900
Fax Number
860-963-0100
Thompson, CT 06277Get directions →

Provider Business Mailing Address Details

Address
75 Church St
Thompson, CT 06277-2609
City
Thompson
State
CT
Zip
06277-2609
Phone Number
860-928-5900
Fax Number
860-963-0100

License Information

License Number (1)
RN2266726
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
104956
License State (2)
CT
Taxonomy (2)
Registered Nurse · 163W00000X
License Number (3)
RN2266726
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (4)
10283
License State (4)
CT
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ms. Amy L Roode, APRN, PMHNP-BC?

The NPI number of Ms. Amy L Roode, APRN, PMHNP-BC is 1710594759. It was assigned on September 24, 2020 and is currently active in the NPPES registry.

What is the specialty of Ms. Amy L Roode, APRN, PMHNP-BC?

Ms. Amy L Roode, APRN, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2266726.

Where does Ms. Amy L Roode, APRN, PMHNP-BC practice?

The practice location is 75 Church St, Thompson, CT 06277-2609. The office can be reached at 860-928-5900 (phone) or 860-963-0100 (fax).

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 1710594759 directly on the NPPES registry website.

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