Dixwell-Newhallville Community Mental Health Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

C-0154 Issued in CT

Legal business name

DIXWELL-NEWHALLVILLE COMMUNITY MENTAL HEALTH SERVICES, INC.

Practice address

660 Winchester Ave
New Haven, CT 06511-1969

Phone

(203) 776-8390

Fax

(203) 773-0788

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert A Page, LCSW

Title

Executive Director

Phone

(203) 776-8390

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1245300433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WINCHESTER AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111969",
            "telephone_number": "203-776-8390",
            "fax_number": "203-773-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WINCHESTER AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111969",
            "telephone_number": "203-776-8390",
            "fax_number": "203-773-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXWELL-NEWHALLVILLE COMMUNITY MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-776-8390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "C-0154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004061396",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Divine Smiles PC
• Ebony Dix, M.D.
• Irene Dixe de Oliveira Santo, MD
• Samira Dixon, PHARMD
• Dixwell Newhallville Community Mental Health Services, NC.
• Dixwell/Newhallville Community Mental Health Services
• Dixwellnewhalville Community Mental Health
• Dmitry Ostro, Crna, PC
• Dna Genetics Lab, LLC
• Quyen DO, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in New Haven, CT
• Providers in New Haven, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.