Organization Active NPI

Uconn Health Center

  • Community/Behavioral Health Agency
  • Farmington, CT
National Provider Identifier
1235404385
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
004916 Issued in CT
Legal business name
UCONN HEALTH CENTER
Practice address
263 Farmington Ave # Mc2103
Room # C1357
Farmington, CT 06030-2103
Phone
(860) 480-6501
Fax
(860) 679-4077
NPI assigned
Mar 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Dr. Geraldine S Pearson, PH.D.
Title
Director of Homecare Program
Phone
(860) 679-4089

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 004916 CT Primary

Addresses

Primary practice location

263 Farmington Ave # Mc2103
Room # C1357
Farmington, CT 06030-2103

Mailing address

263 Farmington Ave # Mc2103
Room # C1357
Farmington, CT 06030-2103
Phone (860) 480-6501

National Provider Directory

National Provider Directory

Locations

263 Farmington Ave
Rm C1357
Farmington, CT 06030
Phone (860) 480-6501

NPI Registry JSON

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1235404385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE # MC2103",
            "address_2": "ROOM # C1357",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302103",
            "telephone_number": "860-480-6501",
            "fax_number": "860-679-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVE # MC2103",
            "address_2": "ROOM # C1357",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060302103",
            "telephone_number": "860-480-6501",
            "fax_number": "860-679-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCONN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF HOMECARE PROGRAM",
        "authorized_official_telephone_number": "18606794089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "004916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.