Behavioral Health Connecticut, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BEHAVIORAL HEALTH CONNECTICUT, LLC

Practice address

213 Court St
8TH Floor
Middletown, CT 06457-3346

Phone

(860) 638-5309

NPI assigned

Nov 19, 2015

Organization subpart

Yes

Parent organization

ADVANCED BEHAVIORAL HEALTH CONNECTICUTAs reported in NPPES

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

Authorized official

Name

Mr. Samuel Moy, PH.D.

Title

President/Ceo

Phone

(860) 638-5309

Specialties & licenses 2

Addresses

Other names 1

• Solutions EAP Doing business as

Part of

Advanced Behavioral Health Inc

Locations

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1588038178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 COURT ST",
            "address_2": "8TH FLOOR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573346",
            "telephone_number": "860-638-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 COURT ST",
            "address_2": "8TH FLOOR",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573346",
            "telephone_number": "860-638-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH CONNECTICUT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED BEHAVIORAL HEALTH CONNECTICUT",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "MOY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "860-638-5309",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solutions EAP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sally F Baumer, L.C.S.W.
• Christina Bearish, RDH
• Riley E Becker
• Thomas Joseph Beggins, M.D.
• Timothy Patrick Begin
• Stephanie Belanger, DPT
• Jordyn Paige Belcourt, PHARMD
• Daniel C Belin, M.D.
• Jessica Leigh Belin, LPC
• Katherine J Bell, PSYD

• All providers in Middletown, CT
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.