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THE CHILD AND FAMILY GUIDANCE CENTER INC. NPI 1659431518


NPI Information

NPI: 1659431518
Provider Name: THE CHILD AND FAMILY GUIDANCE CENTER, INC.
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
180 FAIRFIELD AVE
BRIDGEPORT, CT
ZIP 06604
Phone: (203) 394-6529
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THE CHILD AND FAMILY GUIDANCE CENTER, INC. is an adolescent and children mental health clinic center in Bridgeport, 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. THE CHILD AND FAMILY GUIDANCE CENTER, INC. NPI is 1659431518. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

180 FAIRFIELD AVE
BRIDGEPORT, CT
ZIP 06604-252
Phone: (203) 394-6529
Fax: (203) 394-6534

The provider's authorized official is L. Philip Guzman .
The authorized official title is President Ceo and has the following contact phone number (203) 394-6529.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 12/23/2014.


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
11041C0700XSocial WorkerClinicalNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0855XClinic/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
1004039251MEDICAIDCONNECTICUT

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

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