Active NPI
Stonington Behavioral Health Inc
Doing business as Stonington Institute
- Clinical Psychologist
- Groton, CT
National Provider Identifier
1306361662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- STONINGTON BEHAVIORAL HEALTH INC
- Doing business as
- Stonington Institute
- Practice address
- 618 Poquonnock Rd
Groton, CT 06340 - Phone
- (860) 445-3021
- NPI assigned
- Aug 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steve Filton
- Title
- Vice President
- Phone
- (610) 768-3300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Family Psychologist | 103TF0000X | |||
| Group Psychotherapy Psychologist | 103TP2701X |
Addresses
Primary practice location
618 Poquonnock Rd
Groton, CT 06340
Mailing address
618 Poquonnock Rd
Groton, CT 06340
Phone (860) 445-3021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060 | Medicaid | CT | |
| 0482 | Other | CT | STATE |
Other names 1
- Stonington Institute
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2178237 | Stonington Institute | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Stonington Behavioral Health Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- North Stonington, CT
- NPI 1225097231
Locations
618 Poquonnock Rd
Groton, CT 06340
Phone (860) 445-3021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502150400000",
"number": "1306361662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 POQUONNOCK RD",
"city": "GROTON",
"state": "CT",
"postal_code": "06340",
"telephone_number": "860-445-3021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 POQUONNOCK RD",
"city": "GROTON",
"state": "CT",
"postal_code": "06340",
"telephone_number": "860-445-3021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STONINGTON BEHAVIORAL HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-08",
"last_updated": "2017-08-08",
"status": "A",
"authorized_official_last_name": "FILTON",
"authorized_official_first_name": "STEVE",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "610-768-3300"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0060",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE",
"identifier": "0482",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stonington Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Groton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.