FAIRFIELD BEHAVIORAL HEALTH (NPI# 1720521404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720521404 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD BEHAVIORAL HEALTH |
| Practice Address |
45 Brittania Dr Danbury CT 06811-2613 |
| Practice Telephone | 2032331211 |
| Practice Fax Number | 2039000699 |
| Mailing Telephone | 2032331211 |
| Mailing Fax Number | 2039000699 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | DR. AJIT DOOLABH (OWNER/DIRECTOR) |
| Authorized Official Telephone | 2032331211 |
| Authorized Official Credential | PH.D., BCBA, LBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 252Y00000X | Early Intervention Provider Agency | 1-05-2201 | CT | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 1-05-2201 | CT | Agencies |
| Street Address |
45 BRITTANIA DR |
| City | DANBURY |
| State | CT |
| Zip Code | 06811-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194019489 | Ajit C Doolabh | Behavioral Analyst | 45 Brittania Dr, Danbury, CT 06811-2613 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285361 | Domonique Danza | Massage Therapist | 34 Mill Plain Rd, Danbury, CT 06811 | 2019-09-20 |
| 1538683552 | Walgreen Co | Pharmacy | 113/115 Mill Plain Rd, Danbury, CT 06811 | 2017-08-01 |
| 1366980484 | Heather H Thebodo | Pharmacist | 47-49 Lake Avenue Extention, Danbury, CT 06811 | 2017-02-09 |
| 1851848824 | Ellen Lyall | Dental Hygienist | 6 Field Road, Danbury, CT 06811 | 2016-09-07 |
| 1558753574 | Ctuc01 | Clinic/Center | 100 Mill Plain Road, Danbury, CT 06811 | 2015-02-27 |
| 1063757730 | Rabiya Ansari-johnston | Occupational Therapist | 1 Glen Hill Road, Danbury, CT 06811 | 2012-12-06 |
| 1407167851 | Appalachian Chiropractic and Wellness LLC | Chiropractor | 103 Mill Plain Road, Suite 1, Danbury, CT 06811 | 2010-06-30 |
| 1730395294 | David P Rentler | Psychologist | 33 and One Half Pembroke Rd, Danbury, CT 06811 | 2007-05-14 |
| 1770704074 | Loretta Marie Osik | Naturopath | One Maplewood Dr, Danbury, CT 06811 | 2007-05-02 |
| 1932227733 | Lorena Jean Tesbir | Counselor | 2 Glen Hill Road, Danbury, CT 06811 | 2007-03-27 |
| Find all providers in zip 06811 | ||||
| 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 |
|---|---|---|---|---|
| 1821593443 | Luana Lilian Dias Dossantos | Community/Behavioral Health | 9 Robinson Ave Fl 2, Danbury, CT 06810-5516 | 2018-03-26 |
| 1104959261 | Danbury Youth Services, Inc. | Community/Behavioral Health | 91 West Street, Danbury, CT 06810-6529 | 2007-03-14 |
| 1619412616 | Kato Counseling | Community/Behavioral Health | 100 Mill Plain Rd, 3rd Floor, Danbury, CT 06811-5178 | 2016-12-29 |
| 1366999898 | Association of Religious Communities | Community/Behavioral Health | 325 Main Street, Danbury, CT 06810 | 2016-09-01 |
| 1952855173 | Midwestern Connecticut Council of Alcoholism | Community/Behavioral Health | 38 Old Ridgebury Rd, Danbury, CT 06810-5128 | 2016-08-04 |
| 1134598543 | Family and Children's Aid | Community/Behavioral Health | 75 West St, Danbury, CT 06810-6528 | 2015-09-16 |
| 1982037602 | Apex Community Care, Inc | Community/Behavioral Health | 30 West St, Danbury, CT 06810-7842 | 2013-08-16 |
| 1023383064 | Family and Children's Aid | Community/Behavioral Health | 75 West St, Danbury, CT 06810-6528 | 2012-03-08 |
| 1538433727 | Family and Children's Aid, Inc. | Community/Behavioral Health | 75 West St, Danbury, CT 06810-6528 | 2012-03-06 |
| 1063727865 | Santha T. Kurien, Md PC | Community/Behavioral Health | 27 Hospital Ave, Suite 304, Danbury, CT 06810-5954 | 2010-08-17 |
| Find all providers in DANBURY | ||||
Please comment or provide details below to improve the information on FAIRFIELD BEHAVIORAL HEALTH.
| 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.