NPIMap

Organization Active NPI

Central Connecticut Behavioral Health LLC

  • Addiction Psychiatry Physician
  • Rocky Hill, CT
National Provider Identifier
1043666480
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
Legal business name
CENTRAL CONNECTICUT BEHAVIORAL HEALTH LLC
Practice address
2275 Silas Deane Hwy
Rocky Hill, CT 06067-2329
Phone
(860) 736-4139
NPI assigned
May 4, 2016
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Dr. Richard Frank Comshaw II, PHD APRNNPI 1639116957
Title
Chief Executive Officer
Phone
(860) 736-4139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X Primary

Addresses

Primary practice location

2275 Silas Deane Hwy
Rocky Hill, CT 06067-2329

Mailing address

238 Congdon St E
Middletown, CT 06457-2063
Phone (860) 736-4139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160624001721 CT Part B Supplier - Clinic/Group Practice 1951692706 Receives reassigned benefits from 10 practitioners
Practice locations: Rocky Hill, CT

National Provider Directory

National Provider Directory

Locations

2257 Silas Deane Hwy
Ste 6
Rocky Hill, CT 06067
Phone (860) 736-4140

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1043666480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 CONGDON ST E",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572063",
            "telephone_number": "860-736-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 SILAS DEANE HWY",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060672329",
            "telephone_number": "860-736-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CONNECTICUT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "COMSHAW",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "860-736-4139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD APRN"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Hill, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.