Stonington Behavioral Health Inc

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

0071 Issued in CT

Legal business name

STONINGTON BEHAVIORAL HEALTH INC

Practice address

75 Swantown Hill Rd
North Stonington, CT 06359-1022

Phone

(860) 439-6000

NPI assigned

Mar 20, 2006

Last updated

Mar 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Cfo Sr VP

Phone

(610) 768-3300

Specialties & licenses 3

Addresses

Other identifiers 7

Tax ID family

Stonington Behavioral Health 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.

• Stonington Behavioral Health Inc

  dba Stonington Institute

  • Clinical Psychologist
  • Groton, CT
  • NPI 1306361662
  NPD tax ID

Locations

Practitioners 3

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.

• Amy Rose Benenson, MSPAS, PA-C

  • Medical Physician Assistant
  • Willimantic, CT
  • NPI 1427788009
  NPD (past)
• Faouzi Hage, PA-C

  • Physician Assistant
  • North Stonington, CT
  • NPI 1619096948
  NPD (past)
• Daniel P Degruttola, MD

  • Physical Medicine & Rehabilitation Physician
  • Haverhill, MA
  • NPI 1790737815
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1225097231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SWANTOWN HILL RD",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591022",
            "telephone_number": "860-439-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SWANTOWN HILL RD",
            "city": "NORTH STONINGTON",
            "state": "CT",
            "postal_code": "063591022",
            "telephone_number": "860-439-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONINGTON BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CFO SR VP",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "0071",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CT",
            "license": "0071",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CT",
            "license": "0071",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004245420",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004260791",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004245438",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004253605",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004260767",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004260775",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004260783",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarrod Poirier
• Jennifer Jordan Sawyer, MSW
• Tracy Smith, L.C.S.W.
• Sound Audiology and Hearing Aid Center LLC
• Jerzy Stocki, DR.
• Kelsey Stryker
• Christine Ann Twitty, LPC, MS, NCC
• Blossom R Valda, APRN

• Psychiatric Hospital in North Stonington, CT
• Providers in North Stonington, CT by specialty
• Psychiatric Hospital in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.