Connecticut Behavioral Health Assoc. P.C.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CONNECTICUT BEHAVIORAL HEALTH ASSOC. P.C.

Practice address

41 Fair Harbour PL
New London, CT 06320-4710

Phone

(860) 437-6910

Fax

(860) 437-6920

NPI assigned

May 25, 2007

Organization subpart

No

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

Authorized official

Name

Robert Fox

Title

Ceo

Phone

(860) 437-6914

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Connecticut Behavioral Health Assoc PC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Connecticut Behavioral Health Assoc

  • Professional Counselor
  • New London, CT
  • NPI 1851628366
  NPD tax ID
• Connecticut Behavioral Health Assoc P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • New London, CT
  • NPI 1033320676
  NPD tax ID
• Connecticut Behavioral Health Assoc. P.C

  • Psychiatry Physician
  • New London, CT
  • NPI 1669683207
  NPD tax ID
• Connecticut Behavioral Health Assoc. P.C.

  • Clinical Psychologist
  • New London, CT
  • NPI 1023229663
  NPD tax ID
• Connecticut Behavioral Health Assoc. P.C.

  • Clinical Social Worker
  • New London, CT
  • NPI 1578774113
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bassam Awwa, MD

  • Psychiatry Physician
  • New London, CT
  • NPI 1881774354
  NPD (past)

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285845826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FAIR HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204710",
            "telephone_number": "860-437-6910",
            "fax_number": "860-437-6920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FAIR HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204710",
            "telephone_number": "860-437-6910",
            "fax_number": "860-437-6920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT BEHAVIORAL HEALTH ASSOC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-437-6914"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST OF CONN GRP#'S (LMFT'S",
            "identifier": "04255411",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connecticut Behavioral Health Assoc
• Connecticut Behavioral Health Assoc P.C.
• Connecticut Behavioral Health Assoc, P.C.
• Connecticut Behavioral Health Assoc. P.C
• Connecticut Behavioral Health Assoc. P.C.
• Connecticut Behavioral Health Assoc. P.C.
• Connecticut CVS Pharmacy, L.L.C.
• Connecticut Hand Center, PC
• Connecticut Psychiatric Services LLC
• Silvia Cooke-Salinas, BSW

• Marriage & Family Therapist in New London, CT
• Providers in New London, CT by specialty
• Marriage & Family Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.