Aspire365 Connecticut
Organization Active NPI Addiction Medicine (Preventive Medicine) Physician · New Haven, CT
NPI 1053086587 · NPPES record last updated Oct 14, 2024
Key facts
- NPI
- 1053086587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician 2083A0300X
- Legal business name
- ASPIRE365 CONNECTICUT
- Practice address
- 679 State St
New Haven, CT 06511-6509 - Phone
- (385) 352-9696
- NPI assigned
- Aug 16, 2021
- Organization subpart
- No
Authorized official
- Name
- Mr. Zachary Jenson
- Title
- Ceo
- Phone
- (801) 556-1977
National Provider Directory
Locations
679 State St
New Haven, CT 06511
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Addiction (Substance Use Disorder) Registered Nurse |
163WA0400X | |||
| Addiction Medicine (Preventive Medicine) Physician |
2083A0300X | Yes | ||
| Addiction Medicine (Psychiatry & Neurology) Physician |
2084A0401X |
Addresses
Primary practice location
679 State St
New Haven, CT 06511-6509
Mailing address
9350 S 150 E Ste 320
Sandy, UT 84070-2707
Phone (385) 352-9696
Other providers in New Haven, CT
- Mary Dunlea Asmus
- Solmaz Asnafi
- Andrea Gottsegen Asnes
- Jeremy David Asnes
- Chisaraokwu Ngozi Asomugha
- Larissa Assam
- Jason Asselin
- Hisham Assem
- Corrie Asseo
- Roland Assi
All providers in New Haven, CT · Addiction Medicine (Preventive Medicine) Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.