1588697809 NPI number — JANICE VEILLETTE-CAREY APRN,PNPC,MS,BSN

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588697809 NPI number — JANICE VEILLETTE-CAREY APRN,PNPC,MS,BSN

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

VEILLETTE-CAREY

Provider First Name:

JANICE

Provider Middle Name:

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

APRN,PNPC,MS,BSN

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1588697809

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

03/07/2023

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

141 E MAIN ST

Provider Second Line Business Mailing Address:

4TH FLOOR ADMINISTRATION

Provider Business Mailing Address City Name:

WATERBURY

Provider Business Mailing Address State Name:

CT

Provider Business Mailing Address Postal Code:

06702-2310

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

203-574-9000

Provider Business Mailing Address Fax Number:

203-574-9006

Provider First Line Business Practice Location Address:

141 E MAIN ST

Provider Second Line Business Practice Location Address:

WELLMORE-WATERBURY CLINICAL SERVICES

Provider Business Practice Location Address City Name:

WATERBURY

Provider Business Practice Location Address State Name:

CT

Provider Business Practice Location Address Postal Code:

06702-2310

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

203-756-7136

Provider Business Practice Location Address Fax Number:

203-596-0722

Provider Enumeration Date:

07/09/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 363LP0200X , with the licence number:  001962 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
• Taxonomy code: 163W00000X , with the licence number: E43486 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

• Identifier: 001962 . This is a "UBH-CONNECTICARE (OTHER)" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 004202412 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
• Identifier: 060669107 . This is a "UBH-OXFORD/LIBERTY WELLMORE GRP/FACILITY" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: QV8910 . This is a "BEECH STREET (OTHER)" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 310083 . This is a "MHN-MANAGED HEALTH NETWORK- WELLMORE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 310083 . This is a "MHN TRICARE NORTH -WELLMORE, INC" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 7779351 . This is a "AETNA BEHAVIORAL HEALTH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 872794 . This is a "CIGNA BEHAVIORAL HEALTH/GREAT WEST" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 060669107 . This is a "UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 12078439 . This is a "CAQH" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 40000196CT01 . This is a "ANTHEM BCBS OF CT (OTHER)" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 060669107 . This is a "UBH-CONNECTICARE WELLMORE GRP/FACILITY" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: CSP.0227836 . This is a "CONTROLLED SUBSTANCE REGISTRATION FOR PRACTICONER" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 167942 . This is a "WELLCARE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 060669107 . This is a "ANTHEM BCBS OF CT - WELLMORE GRP/FACILITY" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 060669107 . This is a "HEALTHYCT- WELLMORE GRP/FACILITY" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 26-21682 . This is a "UBH-UHC (OTHER)" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: P32886 . This is a "UBH-OXFORD/LIBERTY (OTHER)" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
• Identifier: 060669107 . This is a "UNITED BEHAVIORAL HEALTH-OPTUM WELLMORE INC GRP/FACILITY" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".