CONNECTICUT BEHAVIORAL HEALTH LLC NPI 1235171828

NPI Information

NPI: 1235171828
Provider Name: CONNECTICUT BEHAVIORAL HEALTH, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 07D0883577

Address:
673 S MAIN ST
CHESHIRE, CT
ZIP 06410
Phone: (203) 271-1430
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CONNECTICUT BEHAVIORAL HEALTH, LLC is a professional counselor in Cheshire, CT. CONNECTICUT BEHAVIORAL HEALTH, LLC NPI is 1235171828. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

673 S MAIN ST
CHESHIRE, CT
ZIP 06410-149
Phone: (203) 271-1430
Fax: (203) 271-1800

The provider's authorized official is Jonathan J Pedro .
The authorized official title is Owner and has the following contact phone number (203) 271-1430.

The CLIA number assigned to this NPI record is 07D0883577 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/11/2006 and was last updated on 10/29/2015.

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	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	No
2	1041C0700X	Social Worker	Clinical	No
3	106H00000X	Marriage & Family Therapist		No
4	103K00000X	Behavior Analyst		No
5	101YP2500X	Counselor	Professional	Yes

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

NPI Synchronization or Removal

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