Organization
CONNECTION PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA ROTH APN (OWNER)
(815) 343-9382
Entity
Organization
Contact information
Practice address
1709 JUMER DR, BLOOMINGTON, IL 61704-0914
(309) 463-5800
(833) 914-2704
Mailing address
1709 JUMER DR, BLOOMINGTON, IL 61704-0914
(309) 463-5800
(833) 914-2704
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
02/23/2026
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