Organization Active NPI

Red Skye Foundation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethany, CT
National Provider Identifier
1184093270
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2024 Issued in CT
Legal business name
RED SKYE FOUNDATION
Practice address
110 Hatfield Hill Rd
Bethany, CT 06524-3523
Phone
(203) 891-6787
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Dr. Claire Wiseman, PH.D.NPI 1669687588
Title
President
Phone
(203) 891-6787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2024 CT Primary

Addresses

Primary practice location

110 Hatfield Hill Rd
Bethany, CT 06524-3523

Mailing address

110 Hatfield Hill Rd
Bethany, CT 06524-3523
Phone (203) 891-6787

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1184093270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HATFIELD HILL RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243523",
            "telephone_number": "203-891-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HATFIELD HILL RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243523",
            "telephone_number": "203-891-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED SKYE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "WISEMAN",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-891-6787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.