Community Based Adolescent Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

001630 Issued in CT

Legal business name

COMMUNITY BASED ADOLESCENT SERVICES

Practice address

87 Jones St
West Haven, CT 06516-5435

Phone

(203) 537-9811

Fax

(203) 937-8830

NPI assigned

Jan 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Frank A Mastri, L.P.C.NPI 1538467212

Title

Executive Director

Phone

(203) 537-9811

Specialties & licenses 1

Addresses

Other names 1

• CBAS Other name

Tax ID family

Cbas2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Community Based Adolescent Services, LLC

  • Professional Counselor
  • West Haven, CT
  • NPI 1912206038
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Anthony Mastri, LPC

  • Professional Counselor
  • West Haven, CT
  • NPI 1538467212
  NPD (past) Authorized official

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1487958278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066010010",
            "telephone_number": "203-537-9811",
            "fax_number": "203-937-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 JONES ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065165435",
            "telephone_number": "203-537-9811",
            "fax_number": "203-937-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY BASED ADOLESCENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "MASTRI",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-537-9811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CBAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole C Colline, APRN
• Alvin Curtis Collins, B.S/ A.S.
• Caitlin Marie Collins, APRN, RN
• Heather Ann Collins
• Michelle Comas, PH.D.
• Community Based Adolescent Services, LLC
• Joanne Concato, MD
• John Concato, M.D.
• Taylor Conklin, RN
• Sarah Connan, FNP-C

• Community/Behavioral Health Agency in West Haven, CT
• Providers in West Haven, 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 Jan 7, 2011; 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.