CCSN BEHAVIORAL HEALTH LLC NPI 1144767286

NPI Information

  • NPI: 1144767286
  • Provider Name: CCSN BEHAVIORAL HEALTH, LLC
  • Classification: Psychologist - 103TM1800X
  • Specialization: Intellectual and Developmental Disabilities
  • Entity Type: Organization
  • Address: 2300 MAIN ST
    GLASTONBURY, CT
    ZIP 06033
  • Phone: (860) 430-1762

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NPI Details

CCSN BEHAVIORAL HEALTH, LLC is an intellectual and developmental disabilities in Glastonbury, CT. CCSN BEHAVIORAL HEALTH, LLC NPI is 1144767286. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2300 MAIN ST
GLASTONBURY, CT
ZIP 06033-218
Phone: (860) 430-1762
Fax: (860) 430-1767

The provider's authorized official is Michael D Powers .
The authorized official title is Executive Director and has the following contact phone number (860) 430-1762.

The enumeration date for this NPI number is 1/27/2017 and was last updated on 1/27/2017.

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
1103K00000XBehavior Analyst001779CONNECTICUTNo
2103TM1800XPsychologistIntellectual and Developmental Disabilities001779CONNECTICUTYes

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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