Organization Active NPI

New London Public Schools

  • Student in an Organized Health Care Education/Training Program
  • New London, CT
National Provider Identifier
1033296280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
NEW LONDON PUBLIC SCHOOLS
Practice address
490 Jefferson Ave
New London High School
New London, CT 06320-2525
Phone
(860) 437-6400
Fax
(860) 437-6440
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Christine L Carver
Title
Director of Special Services
Phone
(860) 447-6010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X CT Primary

Addresses

Primary practice location

490 Jefferson Ave
New London High School
New London, CT 06320-2525

Mailing address

134 Williams St
New London, CT 06320-5231
Phone (860) 447-6010

Other identifiers 1

IdentifierTypeStateIssuer
4207230MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
New London Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

134 Williams St
New London, CT 06320
Phone (860) 447-6000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033296280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WILLIAMS ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205231",
            "telephone_number": "860-447-6010",
            "fax_number": "860-447-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 JEFFERSON AVE",
            "address_2": "NEW LONDON HIGH SCHOOL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063202525",
            "telephone_number": "860-437-6400",
            "fax_number": "860-437-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LONDON PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL SERVICES",
        "authorized_official_telephone_number": "860-447-6010",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4207230",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.