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Mystic Medical Associates LLC

Primary Care Clinic/Center in Mystic, CT · enumerated 2016 · authorized official Christopher Anderson, Aprn.

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

National Provider Identifier

1972954477

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Registry record

Entity type Organization (Type 2)
Legal business name Mystic Medical Associates LLC
Practice address 12 Roosevelt Ave, Second Floor, Mystic, CT, 06355
Phone (860) 245-4126
Fax (860) 245-4128
Enumeration date Jun 27, 2016
Last updated in NPPES Mar 21, 2024

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Christopher Anderson
Title Aprn
Phone (860) 245-4126

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

Who is the authorized official for Mystic Medical Associates LLC?
NPPES lists Christopher Anderson (Aprn) as the authorized official for this organization.
What is the NPI number for Mystic Medical Associates LLC?
The NPI for Mystic Medical Associates LLC is 1972954477, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-21.