PERCEPTION PROGRAMS INC NPI 1568530319

NPI Information

NPI: 1568530319
Provider Name: PERCEPTION PROGRAMS INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 07D2246156

Address:
842 MAIN ST
WILLIMANTIC, CT
ZIP 06226
Phone: (860) 450-7122
Get Directions

PERCEPTION PROGRAMS INC is a substance abuse rehabilitation facility in Willimantic, CT. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. PERCEPTION PROGRAMS INC NPI is 1568530319. The provider is registered as an organization entity type.

The provider's business location address is:

842 MAIN ST
WILLIMANTIC, CT
ZIP 06226-442
Phone: (860) 450-7122
Fax: (860) 450-7152

The provider's authorized official is Dan Gerwien .
The authorized official title is Chief Administrative Officer and has the following contact phone number (860) 450-7122.

The CLIA number assigned to this NPI record is 07D2246156 - other - behavioral health outpati with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/26/2023.

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	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
4	324500000X	Substance Abuse Rehabilitation Facility		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	004217289	MEDICAID	CONNECTICUT
2	004121589	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

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.

« Previous NPI

Next NPI »