NPIMap

Organization Active NPI

Cornell Scott Hill Health Corporation

Doing business as Adult Psychiatric Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Haven, CT
National Provider Identifier
1336342880
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CORNELL SCOTT HILL HEALTH CORPORATION
Practice address
400 Columbus Avenue
Adult Psychiatric Clinic
New Haven, CT 06519-1233
Phone
(203) 503-3075
Fax
(035) 033-2962
NPI assigned
Jun 11, 2007
Last updated
Apr 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Authorized official

Name
Sol Maria Gonzalez
Title
Credentialing Specialist
Phone
(203) 503-3174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

400 Columbus Avenue
Adult Psychiatric Clinic
New Haven, CT 06519-1233

Mailing address

PO Box 7720
Credentialing Speciaist
New Haven, CT 06519-0720
Phone (203) 503-3174

Other identifiers 1

IdentifierTypeStateIssuer
004235918MedicaidCT

Other names 1

  • Adult Psychiatric Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Cornell Scott - Hill Health16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 9

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": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1336342880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7720",
            "address_2": "CREDENTIALING SPECIAIST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065190720",
            "telephone_number": "203-503-3174",
            "fax_number": "203-503-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 COLUMBUS AVENUE",
            "address_2": "ADULT PSYCHIATRIC CLINIC",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191233",
            "telephone_number": "203-503-3075",
            "fax_number": "035-033-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL SCOTT HILL HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SOL",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "203-503-3174"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004235918",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Psychiatric Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adult Psychiatric Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.