COMMUNITY SUBSTANCE ABUSE CENTERS INC (NPI# 1487637724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487637724 |
| Entity Type | Organization |
| Organization Name | COMMUNITY SUBSTANCE ABUSE CENTERS INC |
| Practice Address |
55 Fishfry St Hartford CT 06120-1203 |
| Mailing Address |
125 N Elm St Westfield MA 01085-3464 |
| Practice Telephone | 8602478300 |
| Practice Fax Number | 8605487325 |
| Mailing Telephone | 4134851306 |
| Mailing Fax Number | 4135628360 |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | AMY GARRON (BILLING SUPERVISOR) |
| Authorized Official Telephone | 4134851306 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
Nursing Service Providers | ||
| N | 164W00000X | Licensed Practical Nurse | Nursing Service Providers | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004175718 | 05 | |
| CT | 004141074 | 05 |
| Street Address |
55 FISHFRY ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06120-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992317697 | Jeni Elizabeth Fletcher | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2020-08-24 |
| 1871114686 | Angela Lucke | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2020-05-04 |
| 1083244867 | Waldemar Malave Sr. | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2020-01-22 |
| 1326686841 | Stephany Hunt | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2019-12-16 |
| 1194366336 | Mirian I Laracuente | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2019-09-30 |
| 1649811886 | Phyllis Mischell Hansberry | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2019-09-30 |
| 1982251815 | Stephanie A Berry | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2019-08-26 |
| 1306300066 | Ranjeeta Nair | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2019-01-28 |
| 1366906026 | Sabrina Noel Bradford | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2019-01-28 |
| 1194232454 | Abigail Sherman | Counselor | 55 Fishfry St, Hartford, CT 06120-1203 | 2018-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245664770 | Amy Rodriguez | Social Worker | 2550 Main Street, Hartford, CT 06120 | 2013-09-03 |
| 1144578741 | Community Substance Abuse Center | Case Management | 55 Fish Fry Street, Hartford, CT 06120 | 2012-08-29 |
| 1225394190 | Edward Billie | Case Management | 27 East St, Apt 2, Hartford, CT 06120 | 2012-04-05 |
| 1497065163 | Sharron Lee Laplante | General Practice | 177 Weston Street, Hartford, CT 06120 | 2010-10-15 |
| 1417135195 | Ling Li | Nurse Practitioner | 3580 Main Street, Hartford, CT 06120 | 2008-02-05 |
| 1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
| 1609942416 | Gene David Kirschenbaum | Obstetrics & Gynecology | 360 Market Street, Hartford, CT 06120 | 2006-11-27 |
| 1740361179 | Pamela Bond Ponichtera | Nurse Practitioner | 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 | 2006-10-19 |
| 1841301876 | Community Renewal Team, Inc. | Clinic/Center | 330 Market Street, Hartford, CT 06120 | 2006-08-31 |
| 1548803844 | Courtney Anne Barnes | Social Worker | 330 Market St, Hartford, CT 06120 | 2019-10-20 |
| Find all providers in zip 06120 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730202516 | Hartford Dispensary | Clinic/Center | 345 Main St, Hartford, CT 06106-1824 | 2007-04-09 |
| 1184794257 | Hartford Dispensary | Clinic/Center | 345 Main St, Hartford, CT 06106-1824 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316067481 | Liberation Programs Inc | Clinic/Center | 399 Mill Hill Ave, Bridgeport, CT 06610-2865 | 2007-03-30 |
| 1104942481 | Connecticut Counseling Centers, Inc. | Clinic/Center | 4 Midland Rd, Waterbury, CT 06705-3412 | 2007-03-21 |
| 1205952314 | Connecticut Counseling Centers, Inc. | Clinic/Center | 60 Beaver Brook Rd, Danbury, CT 06810-6239 | 2007-03-21 |
| 1215441597 | Connecticut Counseling Centers Inc | Clinic/Center | 50 Brookside Rd, Waterbury, CT 06708-1402 | 2017-11-26 |
| 1144769449 | Apt Foundation, Inc. | Clinic/Center | 54 E Ramsdell St, New Haven, CT 06515-1140 | 2017-02-20 |
| 1780919951 | New Era Rehabilitation Center, Inc Nh | Clinic/Center | 311 East St, New Haven, CT 06511-5838 | 2009-10-06 |
| 1487889655 | Apt Foundation Inc | Clinic/Center | 1 Long Wharf Dr, Suite 10, New Haven, CT 06511-5991 | 2009-05-18 |
| 1043421985 | Chemical Abuse Services Agency, Inc. | Clinic/Center | 426 East St, New Haven, CT 06511-5018 | 2007-05-24 |
| 1649390733 | Liberation Programs Inc | Clinic/Center | 115 Main St, Stamford, CT 06901-2818 | 2007-03-30 |
| 1073639266 | Connecticut Counseling Centers, Inc | Clinic/Center | 20 N Main St, Norwalk, CT 06854-2656 | 2007-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COMMUNITY SUBSTANCE ABUSE CENTERS INC.
| 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.