Carlos Adam Santana, MS, CAC, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

44.001579 Issued in CT

Practice address

690 Arctic St
Bridgeport, CT 06608-2008

Phone

(203) 339-4112

Fax

(203) 339-4112

NPI assigned

Sep 13, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chemical Abuse Services Agency, Inc.

  • Community/Behavioral Health Agency
  • Bridgeport, CT
  • NPI 1225247224
  NPD (past)
• Chemical Abuse Services Agency, Inc.

  • Community/Behavioral Health Agency
  • New Haven, CT
  • NPI 1225249162
  NPD (past)

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1053147181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 TOWNSEND AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134503",
            "telephone_number": "203-907-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 ARCTIC ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082008",
            "telephone_number": "203-339-4112",
            "fax_number": "203-339-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANA",
        "first_name": "CARLOS",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "MS, CAC, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "44.001579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanitas of Connecticut LLC
• Sanitas of Connecticut LLC
• Sanitas of Connecticut LLC
• Allison M Sanko
• Jacqueline Ann Santacroce, M.S. CCC-SLP
• Ineliz Santana, APRN
• Wanda Santana
• Martika Santiago
• Christy Santilli, PA
• Herman Javier Santos Ordonez, MD

• Addiction (Substance Use Disorder) Counselor in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.