COMMUNITY RESIDENCES INC. NPI 1063782662

NPI Information

  • NPI: 1063782662
  • Provider Name: COMMUNITY RESIDENCES INC.
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 205 KELSEY ST
    UNIT 12
    NEWINGTON, CT
    ZIP 06111
  • Phone: (860) 878-6858

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NPI Details

COMMUNITY RESIDENCES INC. is an adolescent and children mental health clinic center in Newington, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. COMMUNITY RESIDENCES INC. NPI is 1063782662. The provider is registered as an organization entity type.

The provider's business location address is:

205 KELSEY ST
UNIT 12
NEWINGTON, CT
ZIP 06111-436
Phone: (860) 878-6858
Fax: (860) 665-9679

The provider's authorized official is Amy Maguda .
The authorized official title is Community Based Svcs Coordinator and has the following contact phone number (860) 878-6858.

The enumeration date for this NPI number is 1/12/2012 and was last updated on 2/18/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health0520CONNECTICUTNo
2261QR0405XClinic/CenterRehabilitation, Substance Use Disorder0432CONNECTICUTNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthOPCC68CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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