Active NPI
Chemical Abuse Services Agency, Inc.
- Community/Behavioral Health Agency
- New Haven, CT
National Provider Identifier
1043421985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- SA-0120
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236742 | Medicaid | CT | |
| 1043421985 | Medicaid | CT |
Other names 1
- MAAS Meth Maintenance
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 DirectoryLocations
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.
-
- Psychiatry Physician
- New Haven, CT
- NPI 1477704971
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.