Active NPI
Anthony Augustine, LADC
- Addiction (Substance Use Disorder) Counselor
- Old Saybrook, CT
National Provider Identifier
1144556218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 000884
- Practice address
- 841 Middlesex Tpke
Old Saybrook, CT 06475-1317 - Phone
- (860) 395-0111
- Fax
- (860) 395-1264
- NPI assigned
- Oct 26, 2009
- Last updated
- Oct 26, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 000884 | CT | Primary |
Addresses
Primary practice location
841 Middlesex Tpke
Old Saybrook, CT 06475-1317
Mailing address
841 Middlesex Tpke
Old Saybrook, CT 06475-1317
Phone (860) 395-0111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000884 | CT | MD | Skilled Nursing Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saybrook Center LLC | Past | Accepting new patients | |
| Karl E Scheibe | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saybrook Counseling Center
- Mental Health Counselor
- Old Saybrook, CT
- NPI 1730336439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1144556218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 MIDDLESEX TPKE",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751317",
"telephone_number": "860-395-0111",
"fax_number": "860-395-1264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "841 MIDDLESEX TPKE",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751317",
"telephone_number": "860-395-0111",
"fax_number": "860-395-1264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGUSTINE",
"first_name": "ANTHONY",
"credential": "LADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-26",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "000884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.