CORNELL SCOTT HILL HEALTH CORPORATION (NPI# 1841592466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841592466 |
| Entity Type | Organization |
| Organization Name | CORNELL SCOTT HILL HEALTH CORPORATION |
| Other Organization Name | WEST HAVEN HEALTH BEHAVIORAL HEALTH |
| Practice Address |
285 Main St West Haven Health Center West Haven CT 06516-7307 |
| Mailing Address |
Po Box 7720 Credentialing Specialisth New Haven CT 06519-1233 |
| Practice Telephone | 2035033400 |
| Practice Fax Number | 2039313759 |
| Mailing Telephone | 2035033174 |
| Mailing Fax Number | 2035036515 |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2020-04-30 |
| Authorized Official Name | SOL MARIA GONZALEZ (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2035033174 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNELL SCOTT HILL HEALTH CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
0518 | CT | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Haven Behavioral Health | Doing Business As Name - Organization |
| West Haven Health Behavioral Health | Doing Business As Name - Organization |
| West Haven Health Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 285 Main St, West Haven Behavioral Health, West Haven, CT 065167307 | 2035033409 | 2035033414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538377148 | Cornell Scott Hill Health Corporation | Clinical Medical Laboratory | 36 East Industrial Rd, Branford, CT 06405 | 2007-05-18 |
| 1902921380 | Cornell Scott Hill Health Corporation | Psychiatry & Neurology | 400-428 Columbus Avenue, New Haven, CT 06519-1233 | 2007-03-21 |
| 1104941806 | Cornell Scott Hill Health Corporation | Substance Abuse Rehabilitation Facility | 232 Cedar St., South Central Rehabilitation Center, New Haven, CT 06519-1610 | 2007-03-20 |
| 1205105095 | Cornell Scott Hill Health Corporation | Registered Nurse | 400 Columbus Ave, New Haven, CT 06519-1233 | 2011-12-22 |
| 1508161720 | Cornell Scott Hill Health Corporation | Clinic/Center | 428 Columbus Ave, Internal Medicine, New Haven, CT 06519-1233 | 2011-01-19 |
| 1578866364 | Cornell Scott Hill Health Corporation | Clinic/Center | 62 Grant St, Grant Street Partnership, New Haven, CT 06519-2514 | 2010-12-16 |
| 1427351626 | Cornell Scott Hill Health Corporation | Clinic/Center | 911 State St, State Street Health Services, New Haven, CT 06511-3926 | 2010-12-09 |
| 1407159841 | Cornell Scott Hill Health Corporation | Clinic/Center | 226 Dixwell Ave, Dixwell Health Center, New Haven, CT 06511-3456 | 2010-12-07 |
| 1316240757 | Cornell Scott Hill Health Corporation | Clinic/Center | 121 Wakelee Ave, Ansonia, CT 06401-1198 | 2010-12-07 |
| 1376871822 | Cornell Scott Hill Health Corporation | Clinic/Center | 400 Columbus Ave, New Haven, CT 06519-1233 | 2009-11-20 |
| Street Address |
285 MAIN ST WEST HAVEN HEALTH CENTER |
| City | WEST HAVEN |
| State | CT |
| Zip Code | 06516-7307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667355 | Michael A Williams | Nurse Practitioner | 285 Main St, West Haven, CT 06516-7307 | 2017-02-08 |
| 1578990909 | Anne Therese Louise De Guzman | Marriage & Family Therapist | 285 Main St, West Haven, CT 06516-7307 | 2013-09-30 |
| 1245437276 | Berit Mann | Registered Nurse | 285 Main St, West Haven, CT 06516-7307 | 2007-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956421 | Thomas Lorbie Thomson IIi | Nurse Practitioner | Va Connecticut Healthcare, 950 Campbell Avenue, Mail Code: 11acsl1, Building 2b, West Haven, CT 06516 | 2020-06-12 |
| 1659911238 | Claudine Pettigrew | Social Worker | 114-52 Boston Post Road, West Haven, CT 06516 | 2020-01-10 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1821649203 | Michaela Lachance | Physical Therapist | 95 Campbell Ave, West Haven, CT 06516 | 2019-09-26 |
| 1295215739 | Lisa Marie Litrenta | Social Worker | 114-152 Boston Post Rd, #2, West Haven, CT 06516 | 2018-08-15 |
| 1386121895 | Theresa Boateng | Homemaker | 150 Shingle Hill Rd, West Haven, CT 06516 | 2018-07-26 |
| 1902383458 | Bianca Gondek | Social Worker | 114-152 Boston Post Rd #2, West Haven, CT 06516 | 2018-07-26 |
| 1790279172 | Blanca L. Paccha | Nurse Practitioner | 950 Campbell Ave Bldg 2b, West Haven, CT 06516 | 2018-06-19 |
| 1184133597 | Lotus Counseling Services LLC | Counselor | 101 White St, West Haven, CT 06516 | 2017-09-28 |
| 1053867283 | Alesia Wellington | Social Worker | 114-152 Boston Post Rd, 2nd Floor, West Haven, CT 06516 | 2016-08-28 |
| Find all providers in zip 06516 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1811480403 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 230, Manchester, CT 06042-2086 | 2018-06-08 |
| 1851883458 | First Choice Health Centers, Inc. | Clinic/Center | 227 Middle Turnpike East, Manchester, CT 06040-4261 | 2018-05-31 |
| 1003332446 | Community Health Center Inc | Clinic/Center | 41 New St, Danbury, CT 06810-6512 | 2017-08-17 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1760877864 | First Choice Health Centers, Inc. | Clinic/Center | 94 Connecticut Boulevard, East Hartford, CT 06108 | 2015-04-06 |
| 1669874855 | First Choice Health Centers, Inc. | Clinic/Center | 20 Maple Street, Maple Street School, Vernon, CT 06066 | 2014-09-19 |
| 1669874087 | First Choice Health Centers, Inc. | Clinic/Center | 70 Loveland Hill Road, Rockville High School, Vernon, CT 06066 | 2014-09-17 |
| 1548677982 | Community Health Center Inc | Clinic/Center | 730 State Pier Rd, New London, CT 06320-5862 | 2014-07-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST HAVEN |
| Zip Code | 06516 |
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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.