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Medoptions Behavioral Health Associates

Nurse Practitioner in Old Saybrook, CT · enumerated 2007 · authorized official Kelly Johnson, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1174727978

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Registry record

Entity type Organization (Type 2)
Legal business name Medoptions Behavioral Health Associates
Practice address 20 Research Pkwy, Old Saybrook, CT, 06475
Fax (860) 510-0020
Enumeration date Jun 14, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Kelly Johnson
Title Credentialing Coordinator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Medoptions Behavioral Health Associates?
The NPI for Medoptions Behavioral Health Associates is 1174727978, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Medoptions Behavioral Health Associates?
NPPES lists Kelly Johnson (Credentialing Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.