Mystic Medical Associates LLC
NPI 1972954477 · Primary Care Clinic/Center · Mystic, CT
Mystic Medical Associates LLC is a Primary Care Clinic/Center organization in Mystic, CT (NPI 1972954477).
Provider details
- NPI number
- 1972954477
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Anderson, Aprn(860) 245-4126
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
Mailing address
Additional practice locations (1)
- 230 S Main St.Suite #2Cheshire, CT 06410-0641Phone: (860) 245-4126Fax: (877) 927-0171
Registry dates
- Enumerated
- 2016-06-27
- Last updated
- 2024-03-21
- Certified
- 2024-03-21
Frequently asked questions
- What is Mystic Medical Associates LLC's NPI number?
- Mystic Medical Associates LLC's National Provider Identifier (NPI) is 1972954477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mystic Medical Associates LLC?
- Mystic Medical Associates LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mystic Medical Associates LLC located?
- Mystic Medical Associates LLC's practice location on file with NPPES is 12 Roosevelt Ave, Mystic, CT 06355-2809.
- What is Mystic Medical Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Mystic Medical Associates LLC is (860) 245-4126.
- Who is the authorized official for Mystic Medical Associates LLC?
- The authorized official listed on Mystic Medical Associates LLC's NPPES record is Christopher Anderson, Aprn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mystic Medical Associates LLC's NPI active?
- Yes — Mystic Medical Associates LLC's NPI (1972954477) is active in the NPPES registry as of the last update on 2024-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.