IndividualActive
Kelly Tobin
NPI 1164072062 · Psychiatric/Mental Health Nurse Practitioner · Enfield, CT
Provider details
- NPI number
- 1164072062
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 084503 (CT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
153 Hazard Ave
Enfield, CT 06082-4592
Phone: (860) 253-5020
Street-level locationGet directions
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1587
Additional practice locations (2)
- 35 Madsen RdWest Hartford, CT 06110-2504Phone: (860) 305-3225
- 1491 Main StWillimantic, CT 06226-1914Phone: (860) 456-3215
Registry dates
- Enumerated
- 2019-09-13
- Last updated
- 2021-03-02
- Certified
- 2021-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.