Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phoenix Rising Psychiatric Services PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1417773094

Phoenix Rising Psychiatric Services PLLC is a Psychiatric/Mental Health Nurse Practitioner in Glastonbury, Connecticut. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2389 Main St Ste 100
Glastonbury, CT 06033-4617
Phone: (203) 632-6239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1417773094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Richello — Dnp, Pmhnp-Bc, Aprn · (203) 632-6239
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024
Mailing addressPo Box 4675, Wallingford, CT 06492-7568

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