NPIMap

Organization Active NPI

Dixwellnewhalville Community Mental Health

  • Community/Behavioral Health Agency
  • New Haven, CT
National Provider Identifier
1518173848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C 0154 Issued in CT
Legal business name
DIXWELLNEWHALVILLE COMMUNITY MENTAL HEALTH
Practice address
197 Burwell St
660 Winchester Ave.
New Haven, CT 06513-4609
Phone
(203) 776-8390
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Robert Paige, LCSW
Title
Executive Director
Phone
(203) 776-8390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C 0154 CT Primary

Addresses

Primary practice location

197 Burwell St
660 Winchester Ave.
New Haven, CT 06513-4609

Mailing address

197 Burwell St
New Haven, CT 06513-4609
Phone (203) 558-6219

National Provider Directory

National Provider Directory
Tax ID family
Dixwell Newhallville Community Mental Health Services NC4 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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518173848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 BURWELL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134609",
            "telephone_number": "203-558-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 BURWELL ST",
            "address_2": "660 WINCHESTER AVE.",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065134609",
            "telephone_number": "203-776-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXWELLNEWHALVILLE COMMUNITY MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-776-8390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "C 0154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.