The Connection Inc. | NPI 1205985686

Key facts

NPI: 1205985686
Entity type: Organization (NPI type 2)
Primary specialty: Adult Mental Health Clinic/Center 261QM0850X
Legal business name: THE CONNECTION INC.
Practice address: 542 Long Hill Rd
Groton, CT 06340-4108
Phone: (860) 448-4993
Fax: (860) 448-4995
NPI assigned: Jan 9, 2007
Organization subpart: No

Authorized official

Name: Lynn Spencer
Title: Vice President
Phone: (860) 343-5500

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

The Connection Inc. Adult Mental Health Clinic/Center · New Haven, CT · NPI 1154387652

Same enrollment O20091109000501
The Connection Inc. Adult Mental Health Clinic/Center · Old Saybrook, CT · NPI 1518008382

Same enrollment O20091109000501
The Connection Inc. Adult Mental Health Clinic/Center · Meriden, CT · NPI 1609924117

Same enrollment O20091109000501
The Connection Inc. Adult Mental Health Clinic/Center · New Haven, CT · NPI 1700934296

Same enrollment O20091109000501
The Connection Inc. Adult Mental Health Clinic/Center · Middletown, CT · NPI 1952442725

Same enrollment O20091109000501
The Connection Inc. Adult Mental Health Clinic/Center · New Haven, CT · NPI 1992823538

Same enrollment O20091109000501

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Rebecca Ann McKeon, LCSW Clinical Social Worker · New Haven, CT · NPI 1992043756

NPD

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CT

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20091109000501	CT	Part B Supplier - Clinic/Group Practice	7719025915	Receives reassigned benefits from 24 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Haven, CT; Norwich, CT

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Adult Mental Health Clinic/Center	261QM0850X			Yes

Addresses

Primary practice location

542 Long Hill Rd
Groton, CT 06340-4108

Mailing address

955 S Main St
Middletown, CT 06457-5153
Phone (860) 343-5500

Other identifiers

Identifier	Type	State	Issuer
CTGA000443-B000484	Medicaid	CT
004144622	Medicaid	CT

Other names

Womens Services of Groton Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 23, 2009.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1205985686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575153",
            "telephone_number": "860-343-5500",
            "fax_number": "860-343-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 LONG HILL RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404108",
            "telephone_number": "860-448-4993",
            "fax_number": "860-448-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONNECTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-343-5500"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CTGA000443-B000484",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004144622",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Womens Services of Groton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groton, CT

All providers in Groton, CT · Adult Mental Health Clinic/Center in Connecticut

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2009. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.