NPIMap

Organization Active NPI

Cornell Scott Hill Health Corporation

Doing business as Child and Family Guidance Clinic

  • Federally Qualified Health Center (FQHC)
  • New Haven, CT
National Provider Identifier
1407159841
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
0518 Issued in CT
Legal business name
CORNELL SCOTT HILL HEALTH CORPORATION
Doing business as
Child and Family Guidance Clinic
Dixwell Behavioral Health
Dixwell Health Center
Practice address
226 Dixwell Ave
Dixwell Health Center
New Haven, CT 06511-3456
Phone
(203) 503-3420
Fax
(203) 503-3422
NPI assigned
Dec 7, 2010
Last updated
Apr 30, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CORNELL SCOTT-HILL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 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
Federally Qualified Health Center (FQHC) 261QF0400X 0518 CT Primary

Addresses

Primary practice location

226 Dixwell Ave
Dixwell Health Center
New Haven, CT 06511-3456

Mailing address

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

Other practice location 1

226 Dixwell Ave
Child and Family Guidance Clinie
New Haven, CT 06511-3456
Phone (203) 503-3458

Other practice location 2

226 Dixwell Ave
Dixwell Behavioral Health
New Haven, CT 06511-3456
Phone (203) 503-3470

Other names 3

  • Child and Family Guidance Clinic Doing business as
  • Dixwell Behavioral Health Doing business as
  • Dixwell Health Center Doing business as

National Provider Directory

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

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 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": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1407159841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7720",
            "address_2": "CREDENTIALING SPECIALIST",
            "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": "226 DIXWELL AVE",
            "address_2": "DIXWELL HEALTH CENTER",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065113456",
            "telephone_number": "203-503-3420",
            "fax_number": "203-503-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 Dixwell Ave",
            "address_2": "Child and Family Guidance Clinie",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065113456",
            "country_code": "US",
            "telephone_number": "203-503-3458",
            "fax_number": "203-503-3451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 Dixwell Ave",
            "address_2": "Dixwell Behavioral Health",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065113456",
            "country_code": "US",
            "telephone_number": "203-503-3470",
            "fax_number": "203-503-3478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORNELL SCOTT HILL HEALTH CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORNELL SCOTT-HILL HEALTH CENTER",
        "enumeration_date": "2010-12-07",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "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": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CT",
            "license": "0518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child and Family Guidance Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dixwell Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dixwell Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 30, 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.