Organization Active NPI

Hearing Health Care Associates, Inc.

  • Audiologist-Hearing Aid Fitter
  • East Haven, CT
National Provider Identifier
1457417412
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
00174 Issued in CT
Legal business name
HEARING HEALTH CARE ASSOCIATES, INC.
Practice address
190 Main St
East Haven, CT 06512
Phone
(203) 466-3823
Fax
(203) 466-3823
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Ms. Julie Bossenberry, AU.D.NPI 1558427518
Title
Owner President
Phone
(203) 876-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid FitterGroup: 193200000X MULTI-SPECIALTY GROUP 237600000X 00174 CT Primary

Addresses

Primary practice location

190 Main St
East Haven, CT 06512

Mailing address

140 Broad St
Milford, CT 06460
Phone (203) 876-2266

Other identifiers 3

IdentifierTypeStateIssuer
0V0067OtherCTHEALTH NET
730000174CT02OtherCTBLUE CROSS
4093952MedicaidCT

Other names 1

  • Julie Bossenberry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000301 CT Part B Supplier - Clinic/Group Practice 4486616471 Receives reassigned benefits from 2 practitioners
Practice locations: East Haven, CT; Milford, CT

National Provider Directory

National Provider Directory

Locations

190 Main St
East Haven, CT 06512
Phone (203) 466-3823

Practitioners & affiliated clinicians

Practitioners 2

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": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1457417412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BROAD ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-876-2266",
            "fax_number": "203-882-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "06512",
            "telephone_number": "203-466-3823",
            "fax_number": "203-466-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARING HEALTH CARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "BOSSENBERRY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER  PRESIDENT",
        "authorized_official_telephone_number": "203-876-2266",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "CT",
            "license": "00174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "0V0067",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "730000174CT02",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4093952",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julie Bossenberry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.