Organization Active NPI

Hope Haven, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange, CT
National Provider Identifier
1093326464
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOPE HAVEN, LLC
Practice address
543 Kanuga TRL
Orange, CT 06477-2659
Phone
(203) 383-0638
NPI assigned
Aug 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Authorized official

Name
Mrs. Kathryn Cedor, LPCNPI 1588079164
Title
Owner
Phone
(203) 383-0638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

543 Kanuga TRL
Orange, CT 06477-2659

Mailing address

543 Kanuga TRL
Orange, CT 06477-2659
Phone (203) 383-0638

Other names 1

  • Hope Haven Doing business as

National Provider Directory

National Provider Directory

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": "1597104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1093326464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 KANUGA TRL",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772659",
            "telephone_number": "203-383-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 KANUGA TRL",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772659",
            "telephone_number": "203-383-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HAVEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "CEDOR",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-383-0638",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.