Organization Active NPI

Actsinc

  • Adult Mental Health Clinic/Center
  • Hartford, CT
National Provider Identifier
1487026183
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1090 Issued in CT
Legal business name
ACTSINC
Practice address
151 New Park Ave
Suite 120
Hartford, CT 06106-2170
Phone
(516) 652-2100
NPI assigned
Oct 21, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Mr. Edward Gonzalez, LADCNPI 1346654399
Title
Clinician
Phone
(516) 652-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1090 CT Primary

Addresses

Primary practice location

151 New Park Ave
Suite 120
Hartford, CT 06106-2170

Mailing address

151 New Park Ave
Suite 120
Hartford, CT 06106-2170
Phone (516) 652-2100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1487026183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVE",
            "address_2": "SUITE 120",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062170",
            "telephone_number": "516-652-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NEW PARK AVE",
            "address_2": "SUITE 120",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062170",
            "telephone_number": "516-652-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTSINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "516-652-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.