Clifford Beers Child Guidance Clinic

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLIFFORD BEERS CHILD GUIDANCE CLINIC

Practice address

93 Edwards St
New Haven, CT 06511-3933

Phone

(203) 772-1270

NPI assigned

Sep 19, 2008

Last updated

Sep 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fernanda Mendieta

Title

Clinician

Phone

(203) 772-1270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1265682827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113933",
            "telephone_number": "203-772-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113933",
            "telephone_number": "203-772-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD BEERS CHILD GUIDANCE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "MENDIETA",
        "authorized_official_first_name": "FERNANDA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "203-772-1270"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Denzel Clemons, APRN
• Rachael Michelle Clemons, DO
• Steven Clerc, D.O.
• Kaitlyn Clevenger
• Juan Carlos Cleves-Bayon, M.D.
• Clifford Beers Clinic
• Clifford Beers Clinic (hispanos unidos)
• Clifford W. Beers
• Clifford W. Beers Guidance Clinic Inc
• Clifford W. Beers Guidance Clinic, Inc.

• Community/Behavioral Health Agency in New Haven, CT
• Providers in New Haven, 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 19, 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.