Organization Active NPI

Paul Battles LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, CT
National Provider Identifier
1548913742
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PAUL BATTLES LLC
Practice address
149 Durham Rd Ste 26
Madison, CT 06443-2664
Phone
(203) 208-6038
NPI assigned
Jan 28, 2022
Last updated
Jan 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Authorized official

Name
Paul Battles, LPCNPI 1992320741
Title
Owner
Phone
(203) 668-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

149 Durham Rd Ste 26
Madison, CT 06443-2664

Mailing address

26 Stone St
Branford, CT 06405-6242
Phone (203) 668-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409002369 CT Part B Supplier - Clinic/Group Practice 1153769237 Receives reassigned benefits from 1 practitioner
Practice locations: Branford, CT; Madison, CT

National Provider Directory

National Provider Directory

Locations

149 Durham Rd
Ste 26
Madison, CT 06443
Phone (203) 208-6038

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": "1643328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1548913742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 STONE ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064056242",
            "telephone_number": "203-668-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DURHAM RD STE 26",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432664",
            "telephone_number": "203-208-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BATTLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "BATTLES",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-668-8660",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.