CONNECTICUT BEHAVIORAL HEALTH ASSOC. P.C. (NPI# 1285845826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285845826 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT BEHAVIORAL HEALTH ASSOC. P.C. |
| Practice Address |
41 Fair Harbour Pl New London CT 06320-4710 |
| Practice Telephone | 8604376910 |
| Practice Fax Number | 8604376920 |
| Mailing Telephone | 8604376910 |
| Mailing Fax Number | 8604376920 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT FOX (CEO) |
| Authorized Official Telephone | 8604376914 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ST OF CONN GRP#'S (LMFT'S | 04255411 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023229663 | Connecticut Behavioral Health Assoc. P.C. | Psychologist | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-05-25 |
| 1578774113 | Connecticut Behavioral Health Assoc. P.C. | Social Worker | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-05-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONNECTICUT BEHAVIORAL HEALTH ASSOCIATES, P.C. | 41 Faire Harbour Pl, New London, CT 06320-4710 |
| Connecticut Business Registrations | CONNECTICUT BEHAVIORAL HEALTH ASSOCIATES, P.C. | 41 Faire Harbour Pl, New London, CT 06320 |
| Street Address |
41 FAIR HARBOUR PL |
| City | NEW LONDON |
| State | CT |
| Zip Code | 06320-4710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225125610 | Ammar S Traboulsi | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2006-10-06 |
| 1073961173 | Thomas Kenneth Richard Jr. | Marriage & Family Therapist | 41 Fair Harbour Pl, 8604376914, New London, CT 06320-4710 | 2016-05-31 |
| 1568772465 | Quest Diagnostics LLC | Clinical Medical Laboratory | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2010-10-14 |
| 1851628366 | Connecticut Behavioral Health Assoc | Counselor | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2009-11-05 |
| 1710119557 | Jennifer Belfiglio | Social Worker | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2009-08-12 |
| 1972791176 | Stephen Haley | Social Worker | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-10-12 |
| 1982899803 | Julia Chase Brand | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-09-13 |
| 1033320676 | Connecticut Behavioral Health Assoc P.C. | Nurse Practitioner | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-05-25 |
| 1023229663 | Connecticut Behavioral Health Assoc. P.C. | Psychologist | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-05-25 |
| 1669683207 | Connecticut Behavioral Health Assoc. P.c | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-05-25 |
| 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 | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437701497 | Denyce Marie Martell | Marriage & Family Therapist | 154 Hempstead St Fl 2, New London, CT 06320-5638 | 2019-07-10 |
| 1265998298 | Rebecca Tydeman | Marriage & Family Therapist | 351 N Frontage Rd Ste 24, New London, CT 06320-2628 | 2019-02-14 |
| 1538566831 | Jamie P Thompson | Marriage & Family Therapist | 44381 Nc 740 Hwy, New London, NC 28127-9618 | 2014-12-02 |
| 1649681149 | Lucy Domenie Solari | Marriage & Family Therapist | 464 Ocean Ave Ste 300, New London, CT 06320-4544 | 2014-05-19 |
| 1437392545 | Claire A. Mcintyre | Marriage & Family Therapist | 165 State St Ste 220, New London, CT 06320-6304 | 2009-04-20 |
| 1902945314 | Tricia Elizabeth Capozza | Marriage & Family Therapist | 445 Ocean Ave, New London, CT 06320-4502 | 2007-02-05 |
| 1932282787 | Judith Irene Pederson | Marriage & Family Therapist | 430 S Andrew Dr Ne, New London, MN 56273 | 2006-10-23 |
| 1639267909 | Lisa Karen Pionke | Marriage & Family Therapist | Rmms - 1 Bulkeley Place, New London, CT 06320 | 2006-10-11 |
| 1598862153 | Judith Fabricant | Marriage & Family Therapist | 154 Hempstead St, New London, CT 06320-5638 | 2006-09-17 |
| 1598770448 | Dawn Meredith Zarycki | Marriage & Family Therapist | 7 Vauxhall Street, New London, CT 06320 | 2006-07-29 |
| Find all providers in NEW LONDON | ||||
| City | NEW LONDON |
| Zip Code | 06320 |
Please comment or provide details below to improve the information on CONNECTICUT BEHAVIORAL HEALTH ASSOC. P.C..
| 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.