NPIMap

Organization Active NPI

Yale University

Doing business as Yale Health Center

  • Health Service Clinic/Center
  • New Haven, CT
National Provider Identifier
1093862740
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
0005 Issued in CT
Legal business name
YALE UNIVERSITY
Doing business as
Yale Health Center
Practice address
55 Lock St
New Haven, CT 06511-3603
Phone
(203) 432-0076
Fax
(203) 432-7289
NPI assigned
Jan 4, 2007
Last updated
Mar 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Lisa Merola-Grimm
Title
Associate Director
Phone
(203) 432-0076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 0005 CT Primary

Addresses

Primary practice location

55 Lock St
New Haven, CT 06511-3603

Mailing address

55 Lock St
PO Box 208237
New Haven, CT 06511-3603
Phone (203) 432-0076

Other names 1

  • Yale Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000690 CT Part B Supplier - Clinic/Group Practice 9436061736 Receives reassigned benefits from 164 practitioners
Practice locations: New Haven, CT

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 28

Organizations listed as members of this organization in the National Provider Directory.

View all 28

Locations (25 of 59)

2660 Main St
Bridgeport, CT 06606
Phone (203) 332-4744

2660 Main St
Ste 130
Bridgeport, CT 06606

75 Kings Highway Cutoff
Ste 100
Fairfield, CT 06824

500 W Putnam Ave
Fl 2
Greenwich, CT 06830
Phone (475) 227-4371

55 Holly Hill Ln
Ste 130
Greenwich, CT 06830
Phone (203) 210-2880

111 Goose Ln
Ste 2400
Guilford, CT 06437
Phone (203) 458-2097

800 Boston Post Rd
Guilford, CT 06437
Phone (203) 777-0304

800 Boston Post Rd
Bldg 2
Guilford, CT 06437
Phone 2037770304 ext. 20377

7 Meigs Ave
Madison, CT 06443

20 Commerce Park
Milford, CT 06460
Phone (203) 283-5200

1 Long Wharf Dr
New Haven, CT 06511
Phone (203) 777-7500

1 Long Wharf Dr
#2
New Haven, CT 06511

1 Long Wharf Dr
Fl 2
New Haven, CT 06511
Phone (203) 688-2800

1 Long Wharf Dr
Ste 202
New Haven, CT 06511
Phone (203) 688-7994

1 Park St
Fl 2
New Haven, CT 06504
Phone (203) 785-3696

1 Park St
Fl 7
New Haven, CT 06504
Phone (203) 785-4640

136 Sherman Ave
Ste 502
New Haven, CT 06511
Phone (203) 272-1811

15 York St
New Haven, CT 06510
Phone (203) 688-5303

15 York St
#4
New Haven, CT 06510

150 Sargent Dr
Ste 2200
New Haven, CT 06511

175 Sherman Ave
Fl 2
New Haven, CT 06511
Phone (203) 789-6041

185 Goffe St
New Haven, CT 06511

20 York St
#2631
New Haven, CT 06510
Phone (203) 785-2788

20 York St
#3
New Haven, CT 06510
Phone (203) 688-2430

20 York St
#4
New Haven, CT 06510
Phone (203) 200-4822

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mga HomecareScottsdale, AZ, CCN 037243 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareColorado Springs, CO, CCN 067487 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareGlendale, CO, CCN 067522 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareAustin, TX, CCN 748009 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecarePueblo, CO, CCN 067584 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareAddison, TX, CCN 748028 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 12, 2020
Mga HomecareMemphis, TN, CCN 447825 Home health agency 5% Or Greater Indirect Ownership Interest (11.05%) Feb 4, 2022

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 384

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.

View all 384

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1093862740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LOCK ST",
            "address_2": "PO BOX 208237",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113603",
            "telephone_number": "203-432-0076",
            "fax_number": "203-432-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 LOCK ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113603",
            "telephone_number": "203-432-0076",
            "fax_number": "203-432-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YALE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "MEROLA-GRIMM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "203-432-0076"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": "0005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yale Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Yale Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.