CONNECTICUT BEHAVIORAL HEALTH ASSOC. P.C (NPI# 1669683207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669683207 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT BEHAVIORAL HEALTH ASSOC. P.C |
| Practice Address |
41 Fair Harbour Pl New London CT 06320-4710 |
| Practice Telephone | 8604376914 |
| Practice Fax Number | 8604376920 |
| Mailing Telephone | 8604376914 |
| 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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| 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 |
| 1285845826 | Connecticut Behavioral Health Assoc. P.C. | Marriage & Family Therapist | 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 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164527404 | Louis Henry Reich | Psychiatry & Neurology | 292 Montauk Avenue, New London, CT 06320 | 2006-09-13 |
| 1144282898 | Henry F Crabbe | Psychiatry & Neurology | 5 Shaws Cv Ste 207, New London, CT 06320-4974 | 2006-04-06 |
| 1215909379 | Stephen Glenn Vance | Psychiatry & Neurology | 21 Montauk Ave, New London, CT 06320-4906 | 2006-02-03 |
| 1376843011 | Amanda W Speicher | Psychiatry & Neurology | 165 State St, Suite 200, New London, CT 06320-6397 | 2010-10-28 |
| 1982899803 | Julia Chase Brand | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2007-09-13 |
| 1538282710 | Charles Andrew Batt | Psychiatry & Neurology | 14 Blueberry Lane, New London, NH 03257 | 2007-04-10 |
| 1477602217 | Psychiatric Medicine Center PC | Psychiatry & Neurology | 501 Ocean Ave, Psychiatric Medicine Center PC, New London, CT 06320 | 2007-01-10 |
| 1528116118 | Psychiatric Medicine Center, PC | Psychiatry & Neurology | 501 Ocean Ave, New London, CT 06320-4521 | 2007-01-08 |
| 1881774354 | Bassam Awwa | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2006-10-17 |
| 1629158126 | Connecticut Behavioral Health Assoc, P.C. | Psychiatry & Neurology | 41 Fair Harbour Pl, New London, CT 06320-4710 | 2006-10-17 |
| 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.