NPIMap

Organization Active NPI

Newtown Youth and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy Hook, CT
National Provider Identifier
1114015211
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
C-0254 Issued in CT
Legal business name
NEWTOWN YOUTH AND FAMILY SERVICES, INC.
Practice address
15 Berkshire Rd.
Newtown Youth and Family Services
Sandy Hook, CT 06482
Phone
(203) 426-8103
Fax
(203) 270-4338
NPI assigned
Oct 11, 2006
Last updated
Dec 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Authorized official

Name
Candice Foster
Title
Executive Director
Phone
(203) 426-8103

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OPCC-27 CT
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X C-0254 CT Primary

Addresses

Primary practice location

15 Berkshire Rd.
Newtown Youth and Family Services
Sandy Hook, CT 06482

Mailing address

15 Berkshire Rd.
Newtown Youth and Family Services
Sandy Hook, CT 06482
Phone (203) 426-8103

Other identifiers 4

IdentifierTypeStateIssuer
77ABH0020CT01OtherCTANTHEM BEHAVIORAL HEALTH
248294OtherCTMHN
ANC1319OtherCTOXFORD PROVIDER PIN
00412586200MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001453 CT Part B Supplier - Clinic/Group Practice 8820988173 Receives reassigned benefits from 9 practitioners
Practice locations: Sandy Hook, CT

National Provider Directory

National Provider Directory

Locations

121 Mount Pleasant Rd
Newtown, CT 06470
Phone (203) 426-8103

15 Berkshire Rd
Sandy Hook, CT 06482
Phone (203) 270-4335

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1114015211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BERKSHIRE RD.",
            "address_2": "NEWTOWN YOUTH AND FAMILY SERVICES",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "06482",
            "telephone_number": "203-426-8103",
            "fax_number": "203-270-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BERKSHIRE RD.",
            "address_2": "NEWTOWN YOUTH AND FAMILY SERVICES",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "06482",
            "telephone_number": "203-426-8103",
            "fax_number": "203-270-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTOWN YOUTH AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-426-8103"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "OPCC-27",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "C-0254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BEHAVIORAL HEALTH",
            "identifier": "77ABH0020CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "248294",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER PIN",
            "identifier": "ANC1319",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00412586200",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Hook, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.