Beacon

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1052232 Issued in CT

Legal business name

BEACON

Practice address

160 West St
Suite G
Cromwell, CT 06416-2441

Phone

(860) 613-9930

NPI assigned

Aug 2, 2012

Last updated

Aug 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anne Clark

Title

Office Manager

Phone

(508) 473-8338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1447506969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WEST ST",
            "address_2": "SUITE G",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-613-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WEST ST",
            "address_2": "SUITE G",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162441",
            "telephone_number": "860-613-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "508-473-8338"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "1052232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristal Barnes, BCBA
• Sophia Katrina Ardez Barranco, M.S., CCC-SLP
• Tracy Bartholomew, DPT
• Sara Hafez Basyouny, LMSW
• Catherine Baum
• Paige Beaudoin, CF-SLP
• Zoe Helen Beck
• Amanda Jo Begley, MS, CCC-SLP
• Behavioral Education Assessment and Consultation Services of CT, Inc. (BEACON Services of CT)
• Behavioral Education Assessment Consultation Services (BEACON Services of Connecticut)

• Community/Behavioral Health Agency in Cromwell, CT
• Providers in Cromwell, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.