Medoptions Behavioral Health Assoc, LLC
NPI 1588604060ActiveOrganization· Nurse Practitioner· Old Saybrook, CT
Nurse Practitioner in Old Saybrook, Connecticut, registered in NPPES in June 2006. The authorized official on file is Brenda De Gray, Credentialing Mngr.
Overview
| NPI | 1588604060 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | May 26, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Psychologist, Clinical | 103TC0700X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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