Organization Active NPI

I Serve Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Bloomfield, CT
National Provider Identifier
1306586169
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 11, 2022

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

Authorized official

Name
Janine Russell, DNPNPI 1881234516
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.