Provider Type Icon

CLIFFORD W. BEERS GUIDANCE CLINIC INC NPI 1073526968


NPI Information

NPI: 1073526968
Provider Name: CLIFFORD W. BEERS GUIDANCE CLINIC INC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
93 EDWARDS ST
NEW HAVEN, CT
ZIP 06511
Phone: (203) 772-1270
Get Directions

CLIFFORD W. BEERS GUIDANCE CLINIC INC is an adolescent and children mental health clinic center in New Haven, 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. CLIFFORD W. BEERS GUIDANCE CLINIC INC NPI is 1073526968. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

93 EDWARDS ST
NEW HAVEN, CT
ZIP 06511-933
Phone: (203) 772-1270
Fax: (203) 772-0051

The provider's authorized official is Frank Lavelle .
The authorized official title is Director Of Project Management and has the following contact phone number (203) 772-1270.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 3/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryCONNECTICUTNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CONNECTICUTNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthCONNECTICUTNo
4106H00000XMarriage & Family TherapistCONNECTICUTNo
5101YA0400XCounselorAddiction (Substance Use Disorder)CONNECTICUTNo
6103TC0700XPsychologistClinicalCONNECTICUTNo
71041C0700XSocial WorkerClinicalCONNECTICUTNo
8261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004039178MEDICAIDCONNECTICUT

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.