# IMPACT HEALTH PSYCH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730781022
- **Authorized official:** SUZANNE MALERBA (DIRECTOR OF OPS)
- **Authorized official phone:** (203) 988-0766

## Contact information

- **Practice address:** 240 INDIAN RIVER RD STE C7, ORANGE, CT 06477-3691
- **Practice address phone:** (203) 497-3861
- **Mailing address:** 240 INDIAN RIVER RD STE C7, ORANGE, CT 06477-3691
- **Mailing address phone:** (203) 497-3861
- **Mailing address fax:** (203) 298-0494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/11/2020
- **Last updated:** 04/03/2026