NPIMap

Organization Active NPI

Chemical Abuse Services Agency, Inc.

Doing business as Casa Eugenio Maria de Hostos

  • Community/Behavioral Health Agency
  • Bridgeport, CT
National Provider Identifier
1225247224
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SA-0081 Issued in CT
Legal business name
CHEMICAL ABUSE SERVICES AGENCY, INC.
Doing business as
Casa Eugenio Maria de Hostos
Practice address
690 Arctic St
Bridgeport, CT 06608-2008
Phone
(203) 339-4112
Fax
(203) 339-4115
NPI assigned
May 22, 2007
Last updated
Mar 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Authorized official

Name
Mr. Asher Delerme, MS, LADC, CCS, CCDPNPI 1801541081
Title
Executive Director
Phone
(203) 339-4112

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0452 CT
Community/Behavioral Health Agency 251S00000X SA-0081 CT Primary

Addresses

Primary practice location

690 Arctic St
Bridgeport, CT 06608-2008

Mailing address

1124 Iranistan Ave
Bridgeport, CT 06605-1121
Phone (203) 331-4728

Other identifiers 1

IdentifierTypeStateIssuer
004112918MedicaidCT

Other names 1

  • Casa Eugenio Maria de Hostos Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chemical Abuse Services Agency Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

690 Arctic St
Bridgeport, CT 06608
Phone (203) 339-4112

Practitioners & affiliated clinicians

Practitioners 4

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1225247224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 IRANISTAN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051121",
            "telephone_number": "203-331-4728",
            "fax_number": "203-873-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 ARCTIC ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066082008",
            "telephone_number": "203-339-4112",
            "fax_number": "203-339-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMICAL ABUSE SERVICES AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "DELERME",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-339-4112",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LADC, CCS, CCDP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "0452",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "SA-0081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004112918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Eugenio Maria de Hostos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.