NPIMap

Organization Active NPI

Chemical Abuse Services Agency, Inc.

  • Community/Behavioral Health Agency
  • New Haven, CT
National Provider Identifier
1457560484
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SA-0120 Issued in CT
Legal business name
CHEMICAL ABUSE SERVICES AGENCY, INC.
Practice address
426 East St
New Haven, CT 06511-5018
Phone
(203) 495-7710
Fax
(203) 495-7713
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Mr. Asher Delerme, MS, LADC, CCS, CCPD
Title
Executive Director
Phone
(203) 331-4728

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SA-0120 CT Primary
Adult Mental Health Clinic/Center 261QM0850X 0608 CT

Addresses

Primary practice location

426 East St
New Haven, CT 06511-5018

Mailing address

1124 Iranistan Ave
Bridgeport, CT 06605-1121
Phone (203) 331-4728

Other identifiers 1

IdentifierTypeStateIssuer
004175536MedicaidCT

Other names 1

  • MAAS Day & OP Tx Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chemical Abuse Services Agency Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1457560484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 IRANISTAN AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051121",
            "telephone_number": "203-331-4728",
            "fax_number": "203-873-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EAST ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115018",
            "telephone_number": "203-495-7710",
            "fax_number": "203-495-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMICAL ABUSE SERVICES AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "DELERME",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-331-4728",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LADC, CCS, CCPD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "SA-0120",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "0608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004175536",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAAS Day & OP Tx",
            "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 Mar 12, 2015; 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.