Family Services of Central Connecticut, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

0338 Issued in CT

Legal business name

FAMILY SERVICES OF CENTRAL CONNECTICUT, INC.

Practice address

1890 Dixwell Ave
Suite 206
Hamden, CT 06514-3122

Phone

(203) 288-7484

Fax

(203) 288-7485

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark Muradian, DPA

Title

Executive Director

Phone

(860) 826-1358

Specialties & licenses 2

Addresses

Other identifiers 4

Tax ID family

Family Services of Central Connecticut Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Family Services of Central Connecticut, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Guilford, CT
  • NPI 1033206511
  NPD tax ID
• Family Services of Central Connecticut, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Meriden, CT
  • NPI 1043307432
  NPD tax ID
• Family Services of Central CT, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Terryville, CT
  • NPI 1164517801
  NPD tax ID

Locations

Practitioners 1

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

• Tanika E Simpson, LCSW

  • Clinical Social Worker
  • Hamden, CT
  • NPI 1861507535
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1346337748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 VINE ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521433",
            "telephone_number": "860-223-9291",
            "fax_number": "860-223-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 DIXWELL AVE",
            "address_2": "SUITE 206",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065143122",
            "telephone_number": "203-288-7484",
            "fax_number": "203-288-7485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICES OF CENTRAL CONNECTICUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MURADIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-826-1358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "0352",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CT",
            "license": "0338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "192831",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "77ABH0021CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAGA GRP",
            "identifier": "CTGA000438 B751773",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "ANC1482",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family and Internal Medicine of Dixwell Avenue
• Family Chiropractic and Wellness, LLC
• Family First Counseling and Addiction Services LLC
• Family Practice and Internal Medicine of Hamden
• Family Psychiatric Services
• Jeralyn R Fantarella, D.M.D.
• Jirina Ann Fargeorge, LMSW
• William Douglas Farmer, M.D.
• Gianna Nicole Farrow
• Moses Amadeus Farrow, LMFT

• Substance Use Disorder Rehabilitation Clinic/Center in Hamden, CT
• Providers in Hamden, CT by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.