NPIMap

Organization Active NPI

Affiliates for Consultation and Psychotherapy

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1255601548
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
AFFILIATES FOR CONSULTATION AND PSYCHOTHERAPY
Practice address
389 Orange St.
New Haven, CT 06511-6406
Phone
(203) 562-4235
Fax
(203) 624-6600
NPI assigned
Jan 4, 2012
Last updated
Jan 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Authorized official

Name
Mr. Thomas G. Campbell, L.C.S.W.NPI 1467552372
Title
General Partner and Practice Direct
Phone
(203) 562-4235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CT
Addiction (Substance Use Disorder) Counselor 101YA0400X CT
Mental Health Counselor 101YM0800X CT
Pastoral Counselor 101YP1600X CT
Professional Counselor 101YP2500X CT
Social Worker 104100000X CT
Clinical Social Worker 1041C0700X CT Primary
Marriage & Family Therapist 106H00000X CT

Addresses

Primary practice location

389 Orange St.
New Haven, CT 06511-6406

Mailing address

389 Orange St.
New Haven, CT 06511-6406
Phone (203) 562-4235

National Provider Directory

National Provider Directory

Locations

389 Orange St
New Haven, CT 06511
Phone (203) 562-4235

Practitioners & affiliated clinicians

Practitioners 2

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": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1255601548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 ORANGE ST.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116406",
            "telephone_number": "203-562-4235",
            "fax_number": "203-624-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 ORANGE ST.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116406",
            "telephone_number": "203-562-4235",
            "fax_number": "203-624-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATES FOR CONSULTATION AND PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "GENERAL PARTNER AND PRACTICE DIRECT",
        "authorized_official_telephone_number": "203-562-4235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 4, 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.