Organization Active NPI

Sullivan, Lemay & Associates Behavioral Health & Wellness LLC

  • Community/Behavioral Health Agency
  • West Hartford, CT
National Provider Identifier
1427642008
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SULLIVAN, LEMAY & ASSOCIATES BEHAVIORAL HEALTH & WELLNESS LLC
Practice address
97 South St Ste 105
West Hartford, CT 06110-1964
Phone
(860) 461-0504
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Melinda Sullivan, LCSW
Title
Owner
Phone
(860) 559-6922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

97 South St Ste 105
West Hartford, CT 06110-1964

Mailing address

97 South St Ste 105
West Hartford, CT 06110-1964
Phone (860) 461-0504

Other practice location 1

1001 Farmington Ave Ste 301
Bristol, CT 06010-3990
Phone (860) 461-0504

National Provider Directory

National Provider Directory

Locations

1001 Farmington Ave
Ste 301
Bristol, CT 06010
Phone (203) 435-7506

97 South St
Ste 105
West Hartford, CT 06110
Phone (860) 461-0504

Practitioners & affiliated clinicians

Practitioners 1

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": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1427642008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 SOUTH ST STE 105",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101964",
            "telephone_number": "860-461-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 SOUTH ST STE 105",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101964",
            "telephone_number": "860-461-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Farmington Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "CT",
            "postal_code": "060103990",
            "country_code": "US",
            "telephone_number": "860-461-0504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SULLIVAN, LEMAY & ASSOCIATES BEHAVIORAL HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-559-6922",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.