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Connection Psychiatry, PLLC

NPI 1780263384ActiveOrganization· Nurse Practitioner, Psych/Mental Health· Bloomington, IL

Nurse Practitioner, Psych/Mental Health in Bloomington, Illinois, registered in NPPES in April 2021. The authorized official on file is Melinda Roth, APN, Owner.

Overview

NPI1780263384
StatusActive
Entity typeOrganization
NPI issuedApr 2, 2021
Last updated in NPPESFeb 23, 2026
Certified by providerFeb 23, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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