Second Chance Re-Entry Initiative Program

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM

Practice address

157 Charter Oak Ave
Hartford, CT 06106-1913

Phone

(860) 400-2488

NPI assigned

Apr 3, 2023

Organization subpart

Yes

Parent organization

SECOND CHANCE RE-ENTRY INITIATIVE PROGRAMAs reported in NPPES

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

Authorized official

Name

Edward Andrews, BS

Title

Ceo/President

Phone

(860) 879-1335

Specialties & licenses 3

Addresses

Part of

Second Chance Re-Entry Initiative Program

Locations

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1104521863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 CHARTER OAK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061913",
            "telephone_number": "860-400-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CHARTER OAK AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061061913",
            "telephone_number": "860-400-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECOND CHANCE RE-ENTRY INITIATIVE PROGRAM",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "860-879-1335",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Maureen Scrivano, APRN, FNP
• Andrea Seals, LMSW
• Jillian Bridget Searle, PHARMD
• Scott Sears I
• Duncan B, Seawell, PSY.D.
• Laurie Seeger, PA
• Subramani Seetharama, M.D.
• Christine Segala, CRNA
• Dana Segall
• Janel Segui, LPC

• Community/Behavioral Health Agency in Hartford, CT
• Providers in Hartford, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.