NPIMap

Organization Active NPI

Community Resources for Justice

  • Community/Behavioral Health Agency
  • Bridgeport, CT
National Provider Identifier
1598968752
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COMMUNITY RESOURCES FOR JUSTICE
Practice address
75 Washington Ave
Bridgeport, CT 06604-3802
Phone
(203) 576-6924
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Ellen Donnarumma
Title
Vice President
Phone
(617) 482-2520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 00 MA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

75 Washington Ave
Bridgeport, CT 06604-3802

Mailing address

355 Boylston St
Boston, MA 02116-3332
Phone (617) 482-2520

National Provider Directory

National Provider Directory

Locations

75 Washington Ave
Bridgeport, CT 06604
Phone (203) 576-6924

50 Fitch St
New Haven, CT 06515
Phone (203) 361-9166

400 Bayonet St
Ste 207
New London, CT 06320
Phone (857) 207-0098

355 Boylston St
Boston, MA 02116

2 Shaker Rd
Ste D221
Shirley, MA 01464
Phone (617) 823-2599

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1598968752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BOYLSTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021163332",
            "telephone_number": "617-482-2520",
            "fax_number": "617-262-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 WASHINGTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043802",
            "telephone_number": "203-576-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY RESOURCES FOR JUSTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "DONNARUMMA",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "617-482-2520"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "MA",
            "license": "00",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.