Organization Active NPI

Positive Alternatives for Children & Teens, Inc

  • Clinical Social Worker
  • Meriden, CT
National Provider Identifier
1548353832
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002538 Issued in CT
Legal business name
POSITIVE ALTERNATIVES FOR CHILDREN & TEENS, INC
Practice address
391 Broad St
2ND Floor
Meriden, CT 06450-5844
Phone
(203) 634-6095
NPI assigned
Oct 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Harold Fischer, LCSW
Title
Executive Director
Phone
(203) 634-6095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 002538 CT Primary

Addresses

Primary practice location

391 Broad St
2ND Floor
Meriden, CT 06450-5844

Mailing address

85 Lexington St
New Britain, CT 06052-1416
Phone (860) 223-1111

Other names 1

  • P.A.C.T., Inc. Other name

National Provider Directory

National Provider Directory

Locations

391 Broad St
Ste 2
Meriden, CT 06450
Phone (203) 634-6095

NPI Registry JSON

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

{
    "created_epoch": "1159660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548353832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 LEXINGTON ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521416",
            "telephone_number": "860-223-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 BROAD ST",
            "address_2": "2ND FLOOR",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064505844",
            "telephone_number": "203-634-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE ALTERNATIVES FOR CHILDREN & TEENS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-634-6095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "P.A.C.T., Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.