CORNELL SCOTT HILL HEALTH CORPORATION NPI 1336342880

NPI Information

NPI: 1336342880
Provider Name: CORNELL SCOTT HILL HEALTH CORPORATION

Other Name: ADULT PSYCHIATRIC CLINIC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
400 COLUMBUS AVENUE
ADULT PSYCHIATRIC CLINIC
NEW HAVEN, CT
ZIP 06519
Phone: (203) 503-3075
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CORNELL SCOTT HILL HEALTH CORPORATION is a mental health (including community mental health center) clinic center in New Haven, CT. CORNELL SCOTT HILL HEALTH CORPORATION NPI is 1336342880. The provider is registered as an organization entity type.
The provider Other Name Is Adult Psychiatric Clinic.

The provider's business location address is:

400 COLUMBUS AVENUE
ADULT PSYCHIATRIC CLINIC
NEW HAVEN, CT
ZIP 06519-233
Phone: (203) 503-3075
Fax: (035) 033-2962

The provider's authorized official is Sol Maria Gonzalez .
The authorized official title is Credentialing Specialist and has the following contact phone number (203) 503-3174.

The enumeration date for this NPI number is 6/11/2007 and was last updated on 4/29/2020.

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
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004235918	MEDICAID	CONNECTICUT

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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