Active NPI
I Serve Behavioral Health Services LLC
- Community/Behavioral Health Agency
- Bloomfield, CT
National Provider Identifier
1306586169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- I SERVE BEHAVIORAL HEALTH SERVICES LLC
- Practice address
- 8 Ridge Rd
Bloomfield, CT 06002-1636 - Phone
- (860) 995-4194
- NPI assigned
- Mar 30, 2022
- 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
- Janine Russell, DNP
- Title
- Aprn
- Phone
- (860) 995-4194
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
8 Ridge Rd
Bloomfield, CT 06002-1636
Mailing address
664 Prospect Avenue. Suite #100. Hartford, CT. 06105
Bloomfield, CT 06002-1636
Phone (860) 995-4194
National Provider Directory
National Provider DirectoryLocations
664 Prospect Ave
Ste 100
Hartford, CT 06105
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Kinston, NC
- NPI 1881234516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652227200000",
"number": "1306586169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "664 PROSPECT AVENUE. SUITE #100. HARTFORD, CT. 06105",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021636",
"telephone_number": "860-995-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 RIDGE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060021636",
"telephone_number": "860-995-4194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "I SERVE BEHAVIORAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-30",
"last_updated": "2022-05-11",
"certification_date": "2022-04-25",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "JANINE",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "860-995-4194",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, CT
- Howard Lantner MD PC
- Reginald Trevor Howe Jr.
- Laurice Antoinette Howell, R.D., LD
- Judith Gail Hunt
- Erika M Hyman, MSN APRN FNP-C
- Fernando F. Illescas, M.D.
- Inner Balance Physical Therapy and Wellness, LLC
- Inner You Clinical Services LLC
- Inspire Me, LLC
- Integrative Wellness and Physical Therapy, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.