MEDICARE: TENACITY BEHAVIORAL HEALTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1710718325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENACITY BEHAVIORAL HEALTH LLC

Provider Business Mailing Address
First Line	:	2389 MAIN ST
Second Line	:
City	:	GLASTONBURY
State	:	CT
Zip	:	06033-4617
Country	:	US
Telephone Number	:	860-713-3637
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 WESTBOURNE PKWY
Second Line	:
City	:	HARTFORD
State	:	CT
Zip	:	06112-1735
Country	:	US
Telephone Number	:	860-713-3637
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. TIFFANY OTTO
Credential	:	APRN
Telephone Number	:	860-713-3637

Provider Enumeration Date	:	08/13/2024
Last Update Date	:	08/13/2024

Similar Medicare Providers

1144432154 — DINA F BOCTOR MSW
Practice Location Address:

90 SYLVAN AVE
WEST HARTFORD, CT
06107-1735

Practice Phone: 860-561-4175
Practice Fax:

1992702757 — TRINITY HOME HEALTH SERVICES
Practice Location Address:

659 TOWER AVE FL 2
HARTFORD, CT
06112-1259

Practice Phone: 860-763-7600
Practice Fax:

1063410389 — BURGDORF PHARMACY INC
Practice Location Address:

131 COVENTRY STREET , 2ND FL
HARTFORD, CT
06112

Practice Phone: 860-286-2766
Practice Fax: 860-286-2981

1215935168 — ROBERT KRUG MD
Practice Location Address:

490 BLUE HILLS AVE
HARTFORD, CT
06112-1513

Practice Phone: 860-714-2647
Practice Fax: 860-714-8517

1851399794 — THOMAS MILLER MD
Practice Location Address:

490 BLUE HILLS AVE , REHAB
HARTFORD, CT
06112-1513

Practice Phone: 860-714-2647
Practice Fax: 860-714-8517

1962403790 — FRANCIS PASINI PA
Practice Location Address:

490 BLUE HILLS AVE
HARTFORD, CT
06112-1513

Practice Phone: 860-714-2647
Practice Fax: 860-714-8517

Directions to “TENACITY BEHAVIORAL HEALTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.