Southern Connecticut Behavioral Health LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

O04559 Issued in CT

Legal business name

SOUTHERN CONNECTICUT BEHAVIORAL HEALTH LLC

Practice address

203 Broad St
Suite C-4
Milford, CT 06460-4751

Phone

(203) 685-3443

NPI assigned

Nov 5, 2015

Last updated

Nov 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ralph Arnone, MSW, LCSWNPI 1467535757

Title

Owner, Manager

Phone

(203) 685-3443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Greenwich Psychotherapy Now

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenwich, CT
  • NPI 1164231403
  NPPES parent name

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.

• Ralph A. Arnone, LCSW

  • Clinical Social Worker
  • North Haven, CT
  • NPI 1467535757
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1629441019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BROAD ST",
            "address_2": "SUITE C-4",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604751",
            "telephone_number": "203-685-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BROAD ST",
            "address_2": "SUITE C-4",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604751",
            "telephone_number": "203-685-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CONNECTICUT BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "ARNONE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "203-685-3443",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "O04559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Solomon
• Daniel Son, PA-C
• Madison Alexandra Sosa
• Ana Betsabe Soto, LCSW
• Elise Letitia Sotolongo, LCSW
• Southern Connecticut Womens Health Care Associates
• Southington Wellness Group, LLC
• Paris Spanolios, M.D.
• Gary Alan Spector, MD
• Ruth Sposili, APRN

• Clinical Social Worker in Milford, CT
• Providers in Milford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.