Provider Demographics
NPI:1063206209
Name:MW PSYCHIATRY LLC
Entity type:Organization
Organization Name:MW PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:BREANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMENTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-836-1363
Mailing Address - Street 1:15 ALBANY TPKE # 1036
Mailing Address - Street 2:
Mailing Address - City:WEST SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06092-2903
Mailing Address - Country:US
Mailing Address - Phone:860-518-7569
Mailing Address - Fax:
Practice Address - Street 1:14 RYANS WAY
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06013-1822
Practice Address - Country:US
Practice Address - Phone:860-518-7569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty