NPIMap

Organization Active NPI

Chemical Abuse Services Agency, Inc.

  • Community/Behavioral Health Agency
  • New Haven, CT
National Provider Identifier
1225249162
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SA-0120 Issued in CT
Legal business name
CHEMICAL ABUSE SERVICES AGENCY, INC.
Practice address
426 East St
New Haven, CT 06511-5018
Phone
(203) 495-7710
Fax
(203) 495-7713
NPI assigned
May 24, 2007
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, CCDP
Title
Executive Director
Phone
(203) 339-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SA-0120 CT Primary

Addresses

Primary practice location

426 East St
New Haven, CT 06511-5018

Mailing address

690 Arctic St
Bridgeport, CT 06608-2008
Phone (203) 339-4112

Other identifiers 1

IdentifierTypeStateIssuer
004251972MedicaidCT

Other names 1

  • MAAS Amb Detox 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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1225249162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EAST ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115018",
            "telephone_number": "203-495-7710",
            "fax_number": "203-495-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMICAL ABUSE SERVICES AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "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": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "SA-0120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004251972",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAAS Amb Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.