Organization Active NPI

New England Center for C.B.T. & Psychiatry

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glastonbury, CT
National Provider Identifier
1346550977
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
001420 Issued in CT
Legal business name
NEW ENGLAND CENTER FOR C.B.T. & PSYCHIATRY
Practice address
110 National Dr
Glastonbury, CT 06033-4371
Phone
(860) 430-5515
Fax
(860) 430-9754
NPI assigned
Oct 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Authorized official

Name
Mr. Thomas Andrew Cordier, PHD LCPC
Title
Executive Director
Phone
(860) 430-5515

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 001420 CT
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X 001420 CT
Community/Behavioral Health Agency 251S00000X 001420 CT
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 001420 CT Primary
Adult Mental Health Clinic/Center 261QM0850X 001420 CT
Adolescent and Children Mental Health Clinic/Center 261QM0855X 001420 CT

Addresses

Primary practice location

110 National Dr
Glastonbury, CT 06033-4371

Mailing address

110 National Dr
Glastonbury, CT 06033-4371
Phone (860) 430-5515

Other names 1

  • New England Behavioral Health Former legal business name

National Provider Directory

National Provider Directory

Locations

110 National Dr
Glastonbury, CT 06033
Phone (860) 430-5515

NPI Registry JSON

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

{
    "created_epoch": "1287187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458691200000",
    "number": "1346550977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NATIONAL DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334371",
            "telephone_number": "860-430-5515",
            "fax_number": "860-430-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NATIONAL DR",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334371",
            "telephone_number": "860-430-5515",
            "fax_number": "860-430-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CENTER FOR C.B.T. & PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-16",
        "last_updated": "2016-03-23",
        "status": "A",
        "authorized_official_last_name": "CORDIER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-430-5515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "001420",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CT",
            "license": "001420",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001420",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "001420",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "001420",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "001420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New England Behavioral Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.