Organization Active NPI

Family Services of Central Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meriden, CT
National Provider Identifier
1043307432
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0383 Issued in CT
Legal business name
FAMILY SERVICES OF CENTRAL CONNECTICUT, INC.
Practice address
5 Colony St
Suites 301 7 303
Meriden, CT 06451-3272
Phone
(203) 235-7923
Fax
(203) 235-0013
NPI assigned
Oct 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Mark Muradian, DPA
Title
Executive Director
Phone
(860) 826-1358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0383 CT Primary

Addresses

Primary practice location

5 Colony St
Suites 301 7 303
Meriden, CT 06451-3272

Mailing address

92 Vine St
New Britain, CT 06052-1433
Phone (860) 223-9291

Other identifiers 3

IdentifierTypeStateIssuer
CTGA000438 B10006OtherCTSAGA GRP
77ABH0021CT01OtherCTANTHEM
ANC1482OtherCTOXFORD HEALTH PLANS

National Provider Directory

National Provider Directory
Tax ID family
Family Services of Central Connecticut Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

5 Colony St
Ste 301
Meriden, CT 06451
Phone (203) 235-7923

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043307432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 VINE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521433",
            "telephone_number": "860-223-9291",
            "fax_number": "860-223-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLONY ST",
            "address_2": "SUITES 301 7 303",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064513272",
            "telephone_number": "203-235-7923",
            "fax_number": "203-235-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF CENTRAL CONNECTICUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURADIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-826-1358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "0383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGA GRP",
            "identifier": "CTGA000438 B10006",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "77ABH0021CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "ANC1482",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, 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.