Active NPI
The Neuro Health Clinic
Doing business as CT Neuro Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rocky Hill, CT
National Provider Identifier
1669141297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- THE NEURO HEALTH CLINIC
- Practice address
- West Elm Office Commons
1080 Elm St Suite 201
Rocky Hill, CT 06067-1847 - Phone
- (860) 208-6964
- Fax
- (860) 345-5928
- NPI assigned
- Sep 8, 2021
- Last updated
- Jan 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Williams, LPC
- Title
- Clinical Director
- Phone
- (860) 208-6964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
West Elm Office Commons
1080 Elm St Suite 201
Rocky Hill, CT 06067-1847
Mailing address
West Elm Office Commons
1080 Elm St Suite 201
Rocky Hill, CT 06067
Phone (860) 208-6964
Other names 1
- CT Neuro Health
National Provider Directory
National Provider DirectoryLocations
1080 Elm St
Ste 201
Rocky Hill, CT 06067
Phone (860) 208-6964
175 Capital Blvd
Rocky Hill, CT 06067
Phone (203) 598-4864
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.
-
- Mental Health Counselor
- Rocky Hill, CT
- NPI 1174986715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675036800000",
"number": "1669141297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "WEST ELM OFFICE COMMONS",
"address_2": "1080 ELM ST SUITE 201",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "06067",
"telephone_number": "860-208-6964",
"fax_number": "860-345-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WEST ELM OFFICE COMMONS",
"address_2": "1080 ELM ST SUITE 201",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060671847",
"telephone_number": "860-208-6964",
"fax_number": "860-345-5928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE NEURO HEALTH CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-08",
"last_updated": "2023-01-30",
"certification_date": "2023-01-25",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "860-208-6964",
"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": [
{
"organization_name": "CT Neuro Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CT Neuro Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "CT Neuro Health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.