Healthcare Provider Details

I. General information

NPI: 1326538018
Provider Name (Legal Business Name): BELINDA LOVELL THORNE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 EVERGREEN AVE
HAMDEN CT
06518-2717
US

IV. Provider business mailing address

1 EVERGREEN AVE STE 34
HAMDEN CT
06518-2732
US

V. Phone/Fax

Practice location:
  • Phone: 860-485-7573
  • Fax:
Mailing address:
  • Phone: 860-485-7573
  • Fax: 203-651-1698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberF402493
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number7786
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: