NPIMap

Organization Active NPI

Connecticut Psychiatric & Wellness Center

  • Social Worker
  • Hamden, CT
National Provider Identifier
1659736569
Registry record updated Dec 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2162 Issued in CT
Legal business name
CONNECTICUT PSYCHIATRIC & WELLNESS CENTER
Practice address
2446 Whitney Ave FL 2
Hamden, CT 06518-3233
Phone
(203) 298-9005
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2015

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

Authorized official

Name
Ms. Monica Aversa
Title
Business Manager
Phone
(203) 298-9005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 2162 CT Primary

Addresses

Primary practice location

2446 Whitney Ave FL 2
Hamden, CT 06518-3233

Mailing address

2446 Whitney Ave FL 2
Hamden, CT 06518-3233

Other identifiers 1

IdentifierTypeStateIssuer
1528326808MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Connecticut Psychiatric Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2446 Whitney Ave
#2
Hamden, CT 06518
Phone (203) 298-9005

Practitioners & affiliated clinicians

Practitioners 1

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": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1659736569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2446 WHITNEY AVE FL 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2446 WHITNEY AVE FL 2",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183233",
            "telephone_number": "203-298-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT PSYCHIATRIC & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "AVERSA",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "203-298-9005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "CT",
            "license": "2162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528326808",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.