CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI# 1508907288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508907288 |
| Entity Type | Organization |
| Organization Name | CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. |
| Practice Address |
190 Westbrook Rd Essex CT 06426-1518 |
| Mailing Address |
255 Hempstead St New London CT 06320-6204 |
| Practice Telephone | 8607670147 |
| Practice Fax Number | 8607670148 |
| Mailing Telephone | 8604432896 |
| Mailing Fax Number | 8604425909 |
| Enumeration Date | 2007-02-08 |
| 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 | 007228738 | 05 |
| 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 |
190 WESTBROOK RD |
| City | ESSEX |
| State | CT |
| Zip Code | 06426-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647103 | Peter Edward Pool | Dentist | 190 Westbrook Rd, Essex, CT 06426-1518 | 2005-08-28 |
| 1639701667 | Nicole Blanchet | Counselor | 190 Westbrook Rd, Essex, CT 06426-1518 | 2020-02-07 |
| 1073144101 | Lindsey Patricia Massicotte | Social Worker | 190 Westbrook Rd, Essex, CT 06426-1518 | 2020-01-28 |
| 1033767025 | Vincenzo Marafito | Social Worker | 190 Westbrook Rd, Essex, CT 06426-1518 | 2019-09-03 |
| 1316502586 | Erin Vincent | Social Worker | 190 Westbrook Rd, Essex, CT 06426-1518 | 2019-05-03 |
| 1750844635 | Ebony Graham | Counselor | 190 Westbrook Rd, Essex, CT 06426-1518 | 2019-04-09 |
| 1083182778 | Alyssa Ackerson | Social Worker | 190 Westbrook Rd, Essex, CT 06426-1518 | 2018-11-12 |
| 1962977652 | Theresa M Ramponi | Nurse Practitioner | 190 Westbrook Rd, Essex, CT 06426-1518 | 2018-10-09 |
| 1689185761 | Katrina Coyle | Marriage & Family Therapist | 190 Westbrook Rd, Essex, CT 06426-1518 | 2017-10-17 |
| 1558892943 | Caitlin Nuhn | Counselor | 190 Westbrook Rd, Essex, CT 06426-1518 | 2017-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123867 | Art Therapy & Creative Counseling | Counselor | 80 Plains Rd Unit 1, Essex, CT 06426 | 2017-06-05 |
| 1487085593 | Catherine Mary Demers | Nurse Practitioner | 10 Wildwood Medical Center, Essex, CT 06426 | 2013-11-29 |
| 1346515723 | Anne Peterson | Counselor | 80 Plains Rd, Essex, CT 06426 | 2012-03-19 |
| 1477851731 | Diana Leigh Amara | Counselor | 80 Plains Road, Essex, CT 06426 | 2011-03-09 |
| 1609034438 | Marybeth Pytlik Ellison | Pediatrics | Sunflower Developmental Pediatrics, 11 Wildwood Medical Center, Essex, CT 06426 | 2008-05-29 |
| 1780749747 | Dana Lyn Martin | Counselor | 190 Westbrook Road, Essex Child Guidance Clinic, Essex, CT 06426 | 2006-12-27 |
| 1881768836 | Jason Christopher Andrade | Counselor | 190 Westbrock Rd, Essex, CT 06426 | 2006-11-20 |
| 1386735546 | Robert D Dwyer | Urology | 6 Wildwood Medical Center, Essex, CT 06426 | 2006-09-27 |
| 1154421071 | Sharon D Mallon | Psychologist | 251 Westbrook Rd, Essex, CT 06426 | 2006-09-22 |
| 1043319510 | Brian David Fay | Social Worker | 251 Westbrook Road, Essex, CT 06426 | 2006-09-21 |
| Find all providers in zip 06426 | ||||
| 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 |
|---|---|---|---|---|
| 1407310196 | Bridging The Gap Foundation | Clinic/Center | 429 Eastern Blvd, Essex, MD 21221-6735 | 2019-01-26 |
| 1326529850 | True North Counseling Services, LLC | Clinic/Center | 8 Novelty Ln Ste 2, Essex, CT 06426-1168 | 2018-08-23 |
| 1669020343 | Multi-dimensional Community Health Services Inc | Clinic/Center | 403 Eastern Blvd, Essex, MD 21221-6715 | 2019-08-27 |
| 1720505290 | True Expressions Counseling, LLC | Clinic/Center | 80 Plains Road, Office 1, Essex, CT 06426 | 2017-08-25 |
| 1952831224 | Caring Bridges Social Work & Case Management LLC | Clinic/Center | 29 Choate St, Essex, MA 01929-1057 | 2017-06-19 |
| 1629472931 | Jeffrey Lafferman | Clinic/Center | 912 Sun Circle Way, Essex, MD 21221-5946 | 2014-10-15 |
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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 | ||||
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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.