Safe Harbor Christian Counseling of Connecticut, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001718 Issued in CT

Legal business name

SAFE HARBOR CHRISTIAN COUNSELING OF CONNECTICUT, LLC

Practice address

498 White Plains Rd
Trumbull, CT 06611-4855

Phone

(800) 305-2089

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Robert F Hutter, M.A., L.P.C.NPI 1679697171

Title

Director

Phone

(203) 993-3555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 7

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.

• Clarice Elizabeth Grens, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Haven, CT
  • NPI 1053492678
  Medicare reassignment Care Compare group NPD
• Norma J Kirwan, PSY.D

  • Clinical Psychologist
  • Stamford, CT
  • NPI 1760494132
  Medicare reassignment Care Compare group NPD
• Rae L. Legere-Reardon, LMSW

  • Social Worker
  • Prospect, CT
  • NPI 1588196752
  Medicare reassignment Care Compare group NPD
• Amelia Mueller

  • Clinical Social Worker
  • New London, CT
  • NPI 1912159138
  Medicare reassignment Care Compare group NPD
• Kathryn Culbertson, LCSW

  • Clinical Social Worker
  • Orange, CT
  • NPI 1710432257
  Medicare reassignment NPD
• Robert Hutter

  • Counselor
  • Bel Air, MD
  • NPI 1679697171
  NPD Authorized official
• Migna Perez

  • Clinical Social Worker
  • Watertown, CT
  • NPI 1609508449
  NPD (past)

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1245467398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CUTSPRING CIR",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141954",
            "telephone_number": "203-993-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114855",
            "telephone_number": "800-305-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR CHRISTIAN COUNSELING OF CONNECTICUT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "HUTTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-993-3555",
        "authorized_official_credential": "M.A., L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chamila Niroshana Rupasinghe
• Jaime Marie Ruszkowski, M.D.
• Kristin Ruszkowski, APRN
• Michael G Saad
• Robert D Sackstein, M.D.
• Mahsa Safi
• Sage Valley Therapy LLC
• Trevor J Saggese
• Molain Saintilus, M.D.
• Adil Salam, MD

• Community/Behavioral Health Agency in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.