NPIMap

Organization Active NPI

Paragon Behavioral Health, LLC

  • Psychiatry Physician
  • Kensington, CT
National Provider Identifier
1356468417
Registry record updated Oct 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PARAGON BEHAVIORAL HEALTH, LLC
Practice address
26 Chamberlain Hwy
Kensington, CT 06037-1921
Phone
(860) 893-0040
Fax
(860) 893-0046
NPI assigned
Mar 23, 2007
Organization subpart
Yes
Parent organization
PARAGON BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2010

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

Authorized official

Name
Dr. Randi Schnur, PHD
Title
Owner
Phone
(860) 893-0040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

26 Chamberlain Hwy
Kensington, CT 06037-1921

Mailing address

26 Chamberlain Hwy
Kensington, CT 06037-1921
Phone (860) 893-0040

Other identifiers 1

IdentifierTypeStateIssuer
004215168MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060426000398 CT Part B Supplier - Clinic/Group Practice 1850301508 Receives reassigned benefits from 10 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kensington, CT

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Paragon Behavioral Health L7 organizations share this tax ID, including this one
Part of
Paragon Behavioral Health L

Other organizations with this tax ID 6

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

Locations

26 Chamberlain Hwy
Kensington, CT 06037
Phone (860) 893-0040

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286755200000",
    "number": "1356468417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CHAMBERLAIN HWY",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371921",
            "telephone_number": "860-893-0040",
            "fax_number": "860-893-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CHAMBERLAIN HWY",
            "city": "KENSINGTON",
            "state": "CT",
            "postal_code": "060371921",
            "telephone_number": "860-893-0040",
            "fax_number": "860-893-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAGON BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PARAGON BEHAVIORAL HEALTH",
        "enumeration_date": "2007-03-23",
        "last_updated": "2010-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHNUR",
        "authorized_official_first_name": "RANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-893-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004215168",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.