Phoenix Rising Psychiatric Services PLLC
NPI 1417773094ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Glastonbury, CT
Nurse Practitioner, Psych/Mental Health in Glastonbury, Connecticut, registered in NPPES in November 2024. The authorized official on file is Jennifer Richello, DNP, PMHNP-BC, APRN, Dnp, Pmhnp-Bc, Aprn.
Overview
| NPI | 1417773094 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2024 |
| Last updated in NPPES | Nov 27, 2024 |
| Certified by provider | Nov 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other psychiatric nurse practitioners in Glastonbury
- 1467179028
- 1477010288
- 1679214555
- 1982638375
- 1952010985
- 1295689925
- 1306633896
- 1417818162
- 1518565399
- 1700634953
- 1841136934
- 1700732880
All 24 psychiatric nurse practitioners in Glastonbury · All psychiatric nurse practitioners in Connecticut