Active NPI
SB Transitional Sub, LLC
- Community/Behavioral Health Agency
- West Hartford, CT
National Provider Identifier
1003761651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- SB TRANSITIONAL SUB, LLC
- Practice address
- 430 New Park Ave Ste 101
West Hartford, CT 06110-1142 - Phone
- (860) 578-1142
- NPI assigned
- Feb 27, 2026
- Last updated
- Feb 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Patricia Rodenberg-Roberts
- Title
- VP & Sr Asst General Counsel
- Phone
- (952) 836-2234
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Augmentative Communication Clinic/Center | 261QA3000X | |||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Early Intervention Provider Agency | 252Y00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
430 New Park Ave Ste 101
West Hartford, CT 06110-1142
Mailing address
6600 France Ave S Ste 350
Edina, MN 55435-1810
Phone (800) 388-5150
National Provider Directory
National Provider Directory- Tax ID family
- SB Transitional Sub LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Developmental Disabilities Clinic/Center
- West Hartford, CT
- NPI 1811574064
-
- Early Intervention Provider Agency
- West Hartford, CT
- NPI 1881271120
-
- Early Intervention Provider Agency
- Brockton, MA
- NPI 1215520747
-
- Addiction (Substance Use Disorder) Counselor
- Brockton, MA
- NPI 1689267130
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brockton, MA
- NPI 1962091173
Locations
430 New Park Ave
Ste 101
West Hartford, CT 06110
Phone (860) 578-1142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1003761651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 FRANCE AVE S STE 350",
"city": "EDINA",
"state": "MN",
"postal_code": "554351810",
"telephone_number": "800-388-5150",
"fax_number": "952-922-6885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 NEW PARK AVE STE 101",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101142",
"telephone_number": "860-578-1142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SB TRANSITIONAL SUB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A",
"authorized_official_last_name": "RODENBERG-ROBERTS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "VP & SR ASST GENERAL COUNSEL",
"authorized_official_telephone_number": "952-836-2234"
},
"taxonomies": [
{
"code": "261QA3000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Augmentative Communication",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.