KELLY THERESA TOBIN
NPI 1164072062
Nurse Practitioner - Psychiatric/Mental Health in Enfield, CT
NPI Status: Active since September 13, 2019
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
About KELLY TOBIN
This page provides the complete NPI Profile along with additional information for Kelly Tobin, a provider established in Enfield, Connecticut with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1164072062 assigned on September 2019. The practitioner's primary taxonomy code is 363LP0808X with license number 009549 (CT). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1164072062
- Provider Name
- KELLY THERESA TOBIN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 153 HAZARD AVE ENFIELD, CT 06082
- Location Phone
- (860) 253-5020
- Mailing Address
- 2 WATERSIDE XING STE 401 WINDSOR, CT 06095
- Mailing Phone
- (860) 697-3351
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-13-2019
- Last Update Date
- 03-02-2021
- Code Navigator
A nurse practitioner (NP) like Kelly Tobin is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 35 Madsen Rd
West Hartford, CT 06110
(860) 305-3225 - 1491 Main St
Willimantic, CT 06226
(860) 456-3215
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 009549
- License State
- CT
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 084503 (CT) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 0 | 7 | 2 | 0 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 0 | 7 | 4 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 0 + 7 + 4 + 0 + 1 + 2 + 24 = 48 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 48 = 2 | 2 | ||||||||
The NPI number 1164072062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326047960 | KATHY SMITH LCSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1093746026 | NATHAN MASSEY M.D. Individual | Psychiatry & Neurology (Psychiatry) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1457386914 | ASHA QUSBA MD Individual | Psychiatry & Neurology (Psychiatry) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1447366455 | DR. RONALD JAY DAVIDOFF M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1063570497 | ANDREA REBECCA CURRY LCSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1962560599 | THERESA NOWINSKI APRN Individual | Clinical Nurse Specialist (Psychiatric/Mental Health) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1053455899 | MRS. ANN MARIE LYNN KEOKOUMMANE M.S., LPC Individual | Counselor (Mental Health) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1881717254 | MRS. MARGIE MALDONADO LCSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1851505606 | JESSICA STRIETELMEIER LCSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1720282833 | MICHELE FONTAINE LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1871776062 | LAURA FUSARI LCSW, LICSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 212-4911 |
| 1891969648 | LUZ COTTO-CHARNESKI LCSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1558598037 | EBEN LIEBERMAN LCSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1245460146 | DIANE E PASEOS MSW, LICSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1033433057 | LAWRENCE JONES Individual | Counselor (Mental Health) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1134446818 | KAREN DORIS MYERS LCSW Individual | Social Worker (Clinical) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1659698033 | MICHELLE SAFO-AGYEMAN Individual | Counselor (Mental Health) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1003134610 | SHALIAR DREW Individual | Counselor (Mental Health) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1225356538 | DAWN FRISELL Individual | Counselor (Mental Health) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
| 1417275710 | VANESSA BITENCOURT Individual | Counselor (Mental Health) | 153 HAZARD AVE ENFIELD, CT 06082 (860) 253-5020 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164072062, enumerated in the NPI registry as an "individual" on September 13, 2019
The provider is located at 153 Hazard Ave Enfield, Ct 06082 and the phone number is (860) 253-5020
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
This NPI record was last updated on September 13, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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