NPIMap

Organization Active NPI

Jewish Family Service of New Haven Inc

  • Community/Behavioral Health Agency
  • New Haven, CT
National Provider Identifier
1194904854
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
004528 Issued in CT
Legal business name
JEWISH FAMILY SERVICE OF NEW HAVEN INC
Practice address
1440 Whalley Ave
New Haven, CT 06515-1144
Phone
(203) 389-5599
Fax
(203) 398-5904
NPI assigned
Oct 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Ms. Lina Lawall, LCSW
Title
Team Leader
Phone
(203) 389-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 004528 CT Primary

Addresses

Primary practice location

1440 Whalley Ave
New Haven, CT 06515-1144

Mailing address

1440 Whalley Ave
New Haven, CT 06515-1144
Phone (203) 389-5599

Other identifiers 1

IdentifierTypeStateIssuer
ANC1295OtherCTOXFORD

National Provider Directory

National Provider Directory
Tax ID family
Jewish Family Service of Greater New Haven Inc2 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.

Locations

1440 Whalley Ave
New Haven, CT 06515
Phone (203) 389-5599

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1194904854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151144",
            "telephone_number": "203-389-5599",
            "fax_number": "203-398-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151144",
            "telephone_number": "203-389-5599",
            "fax_number": "203-398-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE OF NEW HAVEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "LAWALL",
        "authorized_official_first_name": "LINA",
        "authorized_official_title_or_position": "TEAM LEADER",
        "authorized_official_telephone_number": "203-389-5599",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "004528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1295",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

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