Organization Active NPI

Chemical Abuse Services Agency, Inc.

  • Community/Behavioral Health Agency
  • New Haven, CT
National Provider Identifier
1043421985
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SA-0120 Issued in CT
Legal business name
CHEMICAL ABUSE SERVICES AGENCY, INC.
Practice address
426 East St
New Haven, CT 06511-5018
Phone
(203) 495-7710
Fax
(203) 495-7713
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Authorized official

Name
Mr. Asher Delerme, MS, LADC, CCS, CCDP
Title
Executive Director
Phone
(203) 331-4728

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SA-0120 CT Primary
Methadone Clinic 261QM2800X SA- 0120 CT

Addresses

Primary practice location

426 East St
New Haven, CT 06511-5018

Mailing address

1124 Iranistan Ave
Bridgeport, CT 06605-1121
Phone (203) 331-4728

Other identifiers 2

IdentifierTypeStateIssuer
004236742MedicaidCT
1043421985MedicaidCT

Other names 1

  • MAAS Meth Maintenance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

National Provider Directory

National Provider Directory

Locations

426 East St
New Haven, CT 06511
Phone (203) 495-7710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1043421985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 IRANISTAN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051121",
            "telephone_number": "203-331-4728",
            "fax_number": "203-873-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EAST ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115018",
            "telephone_number": "203-495-7710",
            "fax_number": "203-495-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMICAL ABUSE SERVICES AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "DELERME",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-331-4728",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LADC, CCS, CCDP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "SA-0120",
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "CT",
            "license": "SA- 0120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004236742",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043421985",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAAS Meth Maintenance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.