NPIMap

Organization Active NPI

Gilead Community Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Middletown, CT
National Provider Identifier
1154515435
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
RLC-0004 Issued in CT
Legal business name
GILEAD COMMUNITY SERVICES, INC.
Practice address
436 Washington St
Middletown, CT 06457-2527
Phone
(860) 343-5317
Fax
(860) 343-6150
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Mrs. Christine D Leiby
Title
Director of Finance
Phone
(860) 343-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X RLC-0004 CT Primary

Addresses

Primary practice location

436 Washington St
Middletown, CT 06457-2527

Mailing address

PO Box 1000
222 Main Street Extension
Middletown, CT 06457-1000
Phone (860) 343-5300

Other identifiers 1

IdentifierTypeStateIssuer
004246717MedicaidCT

Other names 1

  • Gilead II Other name

National Provider Directory

National Provider Directory
Tax ID family
Gilead Community Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1154515435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "222 MAIN STREET EXTENSION",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571000",
            "telephone_number": "860-343-5300",
            "fax_number": "860-343-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 WASHINGTON ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064572527",
            "telephone_number": "860-343-5317",
            "fax_number": "860-343-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "LEIBY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "860-343-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CT",
            "license": "RLC-0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246717",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gilead II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.