Provider Demographics
NPI:1851116719
Name:MAYSTONE PSYCHIATRY
Entity type:Organization
Organization Name:MAYSTONE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC APRN
Authorized Official - Prefix:
Authorized Official - First Name:MAEGAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MONTEROSE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:203-560-9547
Mailing Address - Street 1:1449 WHALLEY AVE UNIT 3607
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06525-7709
Mailing Address - Country:US
Mailing Address - Phone:203-560-9547
Mailing Address - Fax:
Practice Address - Street 1:1449 WHALLEY AVE UNIT 3607
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06525-7709
Practice Address - Country:US
Practice Address - Phone:203-560-9547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-16
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty