NPIMap

Organization Active NPI

Gilead Community Services, Inc.

  • Community/Behavioral Health Agency
  • Middletown, CT
National Provider Identifier
1467705715
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2271 Issued in CT
Legal business name
GILEAD COMMUNITY SERVICES, INC.
Practice address
230 Main Street Ext
Middletown, CT 06457-4470
Phone
(860) 343-5300
NPI assigned
Oct 24, 2012
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Christine D Leiby
Title
Treasurer & Cfo
Phone
(860) 769-3839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 2271 CT Primary

Addresses

Primary practice location

230 Main Street Ext
Middletown, CT 06457-4470

Mailing address

222 Main Street Ext
PO Box 1000
Middletown, CT 06457-4470
Phone (860) 343-5300

Other identifiers 1

IdentifierTypeStateIssuer
004140505MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Gilead Community Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

230 Main Street Ext
Middletown, CT 06457
Phone (860) 343-5300

681 Saybrook Rd
Middletown, CT 06457
Phone (860) 343-5300

Practitioners & affiliated clinicians

Practitioners 8

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": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1467705715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 MAIN STREET EXT",
            "address_2": "PO BOX 1000",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574470",
            "telephone_number": "860-343-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAIN STREET EXT",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574470",
            "telephone_number": "860-343-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "LEIBY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "TREASURER & CFO",
        "authorized_official_telephone_number": "860-769-3839"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "2271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004140505",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.