COMMUNITY MENTAL HEALTH AFFILIATES (NPI# 1659687622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659687622 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MENTAL HEALTH AFFILIATES |
| Practice Address |
29 Russell St New Britain CT 06052-1312 |
| Mailing Address |
965 S Main St Waterbury CT 06706-1434 |
| Practice Telephone | 8602232778 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Authorized Official Name | SUZANNE DEROSA (PROGRAM COORDINATOR) |
| Authorized Official Telephone | 2035969724 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 001350 | CT | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184879009 | Community Mental Health Affiliates | Community/Behavioral Health | 55 Winthrop St, New Britain, CT 06052-1728 | 2008-11-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | COMMUNITY MENTAL HEALTH AFFILIATES, INC. | 270 John Downey Drive, New Britain, CT 06051 |
| Street Address |
29 RUSSELL ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06052-1312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346361714 | Manzoor Mustafa Usman | Psychiatry & Neurology | 29 Russell St, New Britain, CT 06052-1312 | 2007-04-03 |
| 1497181929 | Erin Byrne | Counselor | 29 Russell St, New Britain, CT 06052-1312 | 2013-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629604905 | Lynn Fazzino | Physical Therapist | Cora, 136 West Main St, New Britain, CT 06052 | 2020-03-18 |
| 1265927826 | Marie Susie Gustin | Psychologist | 365 Shuttle Meadow Ave, New Britain, CT 06052 | 2018-06-26 |
| 1942711718 | Ashley R Stevens | Nurse Practitioner | 22 Cedar St., New Britain, CT 06052 | 2017-10-19 |
| 1740710417 | Roxanne Guzze | Pharmacy Technician | 470 Hartford Road, New Britain, CT 06052 | 2017-06-15 |
| 1417483165 | Liberty Integrated Behavioral Health, LLC | Nurse Practitioner | 18 Hart St., New Britain, CT 06052 | 2017-05-02 |
| 1518233022 | Kristy Messier | Counselor | 73 Cedar St., The Hospital of Central Connecticut, New Britain, CT 06052 | 2012-03-29 |
| 1629374178 | Liberty Healthcare, LLC | Nurse Practitioner | 18 Hart St, New Britain, CT 06052 | 2011-02-01 |
| 1528207800 | Colleen M Picone | Social Worker | 55 Winthrop Street, New Britain, CT 06052 | 2009-02-11 |
| 1902073166 | Joseph Paladino | Durable Medical Equipment & Medical Supplies | 39 Brooklawn St, New Britain, CT 06052 | 2008-05-15 |
| 1861667768 | Elizabeth Kartsen | Audiologist | 292 West Main Street, Grove Hill Medical Center, PC, New Britain, CT 06052 | 2008-04-23 |
| Find all providers in zip 06052 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689110942 | Capitol Region Education Council | Community/Behavioral Health | 600 Slater Rd, Crec Medical Professions & Teacher Academy, New Britain, CT 06053-2646 | 2017-01-11 |
| 1174931539 | Human Resources Agency of New Britain, Inc. | Community/Behavioral Health | 83 Whiting Street, New Britain, CT 06051 | 2014-07-30 |
| 1255896064 | Dagmara Niecikowski, LLC | Community/Behavioral Health | 45 Russell St, New Britain, CT 06052-1312 | 2019-02-06 |
| 1174056659 | Family and Children's Aid | Community/Behavioral Health | 52 Main St, New Britain, CT 06051-2509 | 2017-04-11 |
| 1477926327 | Innovation In Education | Community/Behavioral Health | 600 East St, New Britain, CT 06051-2132 | 2015-11-01 |
| 1831573971 | Catholic Charities Inc Archdiocese of Hartford | Community/Behavioral Health | 90 Franklin Sq, New Britain, CT 06051-2607 | 2015-07-18 |
| 1669854543 | Raul Ruiz | Community/Behavioral Health | 75 N Mountain Rd, New Britain, CT 06053-3468 | 2015-06-26 |
| 1518261999 | Klingberg Comprehensive Family Services, Inc. | Community/Behavioral Health | 370 Linwood St, New Britain, CT 06052-1949 | 2010-12-29 |
| 1659501757 | Catholic Charities | Community/Behavioral Health | 90 Franklin Sq, New Britain, CT 06051-2607 | 2009-07-23 |
| 1184879009 | Community Mental Health Affiliates | Community/Behavioral Health | 55 Winthrop St, New Britain, CT 06052-1728 | 2008-11-19 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06052 |
Please comment or provide details below to improve the information on COMMUNITY MENTAL HEALTH AFFILIATES.
| 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.