NR Connecticut, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NR CONNECTICUT, LLC

Doing business as

Retreat Behavioral Health

Practice address

915 Ella T Grasso Blvd
New Haven, CT 06519-5516

Phone

(561) 444-3512

NPI assigned

Mar 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Scott Korogodsky

Title

Chief Administrative Officer

Phone

(561) 444-3512

Specialties & licenses 4

Addresses

Other names 1

• Retreat Behavioral Health Doing business as

Tax ID family

NR Connecticut LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• NR Connecticut, LLC

  dba Retreat at South Connecticut

  • Substance Abuse Rehabilitation Facility
  • New Haven, CT
  • NPI 1922646082
  NPD tax ID

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1184374993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 ELLA T GRASSO BLVD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065195516",
            "telephone_number": "203-349-9400",
            "fax_number": "800-915-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 ELLA T GRASSO BLVD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065195516",
            "telephone_number": "561-444-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "KOROGODSKY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "561-444-3512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "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
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retreat Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Retreat Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nadia Nowak, APRN
• Richard Joseph Nowak, M.D.
• Blake Andrew Nowakowski
• Amy Lynn Noyes, CPNP, MSN
• Erin A Nozetz, M.D.
• NR Connecticut, LLC (Retreat at South Connecticut)
• Stella M Ntate, LCSW LADC
• Debra O. Nudel, PHD
• Ron Nudel, MD
• James Thomas Nugent, M.D.

• Community/Behavioral Health Agency in New Haven, CT
• Providers in New Haven, 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 Dec 16, 2022; 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.