MS. AMY L ROODE APRN PMHNP-BC NPI 1710594759

NPI Information

  • NPI: 1710594759
  • Provider Name: MS. AMY L ROODE, APRN, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 75 CHURCH ST
    THOMPSON, CT
    ZIP 06277
  • Phone: (860) 928-5900

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NPI Details

MS. Amy L Roode, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Thompson, CT with 4 years of experience. MS. Amy L Roode, APRN, PMHNP-BC NPI is 1710594759. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

75 CHURCH ST
THOMPSON, CT
ZIP 06277-609
Phone: (860) 928-5900
Fax: (860) 963-0100

The NPI 1710594759 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/24/2020 and was last updated on 12/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseRN2266726MASSACHUSETTSNo
2163W00000XRegistered Nurse104956CONNECTICUTNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthRN2266726MASSACHUSETTSNo
4363LP0808XNurse PractitionerPsychiatric/Mental Health10283CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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