CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI# 1093762114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093762114 |
Entity Type | Organization |
Organization Name | CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. |
Practice Address |
75 Granite St New London CT 06320-5730 |
Mailing Address |
255 Hempstead St New London CT 06320-6204 |
Practice Telephone | 8604374550 |
Practice Fax Number | 8604374552 |
Mailing Telephone | 8604432896 |
Mailing Fax Number | 8604425909 |
Enumeration Date | 2006-05-27 |
Last Update Date | 2019-06-20 |
Authorized Official Name | LISA BAXTER (CHIEF FINANCIAL AND ADMIN OFFICER) |
Authorized Official Telephone | 8604432896 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004083309 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
190 Westbrook Rd, Essex, CT 064261518 | 8607670147 | 8607670148 |
591 Poquonnock Rd, Groton, CT 063404571 | 8604498217 | 8604498323 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609414176 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 154 Toll Gate Rd, Groton, CT 06340-3444 | 2019-12-16 |
1053652651 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 40 Field St, Pawcatuck, CT 06379-2186 | 2013-03-06 |
1962750539 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 160 Fishtown Rd, Mystic, CT 06355-2012 | 2012-08-29 |
1881871168 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 500 Poquonnock Rd, Groton, CT 06340-4568 | 2008-01-29 |
1043403942 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 40 Shaw St, New London, CT 06320-4922 | 2007-08-23 |
1467468025 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 101 Groton Long Point Rd, Groton, CT 06340-4861 | 2006-08-01 |
1013921048 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 37 Beech Dr, New London, CT 06320-3003 | 2006-07-27 |
1881608834 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 74 Grove St, New London, CT 06320-6515 | 2006-07-27 |
1669496048 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 1 Bulkeley Pl, New London, CT 06320-6206 | 2006-07-27 |
1467476853 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 7 Vauxhall St, New London, CT 06320-5711 | 2006-07-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. | 255 Hempstead St, New London, CT 06320-6204 |
Street Address |
75 GRANITE ST |
City | NEW LONDON |
State | CT |
Zip Code | 06320-5730 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433580 | Rachel K Daley | Social Worker | 75 Granite St, New London, CT 06320-5730 | 2020-09-29 |
1295341444 | Allison Monica Beeley | Marriage & Family Therapist | 75 Granite St, New London, CT 06320-5730 | 2020-09-22 |
1659984193 | Alexis Spinnato | Social Worker | 75 Granite St, New London, CT 06320-5730 | 2020-08-25 |
1841834173 | Silvia Cooke-salinas | Social Worker | 75 Granite St, New London, CT 06320-5730 | 2019-10-30 |
1932742426 | Alexandra Jaye Garvey | Social Worker | 75 Granite St, New London, CT 06320-5730 | 2019-10-28 |
1629629704 | Mariel Ozoria | Counselor | 75 Granite St, New London, CT 06320-5730 | 2019-09-20 |
1295387843 | Sara Diane Lambert | Nurse Practitioner | 75 Granite St, New London, CT 06320-5730 | 2019-07-14 |
1811557085 | James Robertson | Marriage & Family Therapist | 75 Granite St, New London, CT 06320-5730 | 2019-06-19 |
1598322356 | Victoria Daniw | Counselor | 75 Granite St, New London, CT 06320-5730 | 2019-05-28 |
1619475001 | Jessica Boucher | Social Worker | 75 Granite St, New London, CT 06320-5730 | 2018-01-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942824891 | Shilpi Jain | Physical Therapist | 31 Vauxhall Street, Beechwood Post Accute, Transitional, New London, CT 06320 | 2020-06-05 |
1174009641 | Catherine Hinojosa | Nurse Practitioner | 1 Shaws Cove, New London, CT 06320 | 2018-07-17 |
1043668320 | Cultivate & Grow Inc. | Counselor | 302 State St Suite 307, New London, CT 06320 | 2016-05-27 |
1295137263 | Jacqueline Durnell | Registered Nurse | 15 Mohegan Drive, Us Coast Guard Academy Regional Clinic, New London, CT 06320 | 2014-09-22 |
1922427541 | Corina Vendetto | Registered Nurse | 245 Shaw St., New London, CT 06320 | 2014-04-10 |
1912329962 | Janelle Posey-green | Social Worker | 302 State St., Suite 201, New London, CT 06320 | 2014-01-10 |
1750622692 | Cynthia Mitchell | Social Worker | 65b Michael Rd, New London, CT 06320 | 2013-03-01 |
1518254507 | Simon J Shapiro | Physical Medicine & Rehabilitation | 190 Howard Avenue, New London, CT 06320 | 2011-06-29 |
1184876708 | Jane P Genido-trujillo | Nurse Practitioner | 270 Mohegan Ave., Student Health Services, New London, CT 06320 | 2008-10-14 |
1932356284 | Gerard Joseph Ventura | Dentist | 21 Montauk Ave., Suite 102, New London, CT 06320 | 2008-08-19 |
Find all providers in zip 06320 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396700886 | Sound Community Services, Inc. | Clinic/Center | 21 Montauk Avenue, New London, CT 06320-4906 | 2006-04-19 |
1215393327 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 7 Vauxhall St, New London, CT 06320-5711 | 2016-01-05 |
1679614242 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 75 Granite St, New London, CT 06320-5730 | 2007-02-08 |
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1548867823 | Marianne Cardillo LLC | Clinic/Center | 72 Cedar Heights Rd, Stamford, CT 06905-1105 | 2020-10-08 |
1770180770 | Thriving Minds Connecticut, LLC | Clinic/Center | 39 Leonard Rd, Middlebury, CT 06762-3602 | 2020-10-03 |
1093326464 | Hope Haven, LLC | Clinic/Center | 543 Kanuga Trl, Orange, CT 06477-2659 | 2020-08-11 |
1760093108 | Intuitive Healing Counseling LLC | Clinic/Center | 95 Armory Rd Ste 2, Stratford, CT 06614-1753 | 2020-08-10 |
1750992244 | Connecting The Pieces, LLC | Clinic/Center | 151 New Park Ave Unit 27, Hartford, CT 06106-2181 | 2020-08-10 |
1063021228 | Clear Sky Therapy Services | Clinic/Center | 68 Lyman Rd, West Hartford, CT 06117-1311 | 2020-07-23 |
1104453562 | Empower Therapy & Wellness LLC | Clinic/Center | 786 Boston Post Rd # 203, Madison, CT 06443-3036 | 2020-03-25 |
1386279453 | Pathways To Wellness, LLC | Clinic/Center | 74 Sheldon Ter, New Haven, CT 06511-2006 | 2020-03-09 |
1053945196 | Farley Counseling Services | Clinic/Center | 29b Hartford Ave, Granby, CT 06035-2326 | 2020-02-27 |
1922630557 | Starfish Family Connections, LLC | Clinic/Center | 1367 Hanover Ave Apt 602, Meriden, CT 06451-6278 | 2020-02-11 |
Find all providers with the same taxonomy |
City | NEW LONDON |
Zip Code | 06320 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.