Organization Active NPI

New England Center for Natural Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mystic, CT
National Provider Identifier
1669466355
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEW ENGLAND CENTER FOR NATURAL BEHAVIORAL HEALTH, LLC
Practice address
44 Washington St
Suites 213-214
Mystic, CT 06355-2839
Phone
(860) 922-4280
NPI assigned
Sep 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ed Feraco
Title
President / Ceo
Phone
(860) 922-4280

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CT Primary

Addresses

Primary practice location

44 Washington St
Suites 213-214
Mystic, CT 06355-2839

Mailing address

PO Box 223
Old Mystic, CT 06372-0223
Phone (860) 922-4280

National Provider Directory

National Provider Directory

Locations

44 Washington St
#213214
Mystic, CT 06355
Phone (860) 922-4280

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669466355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223",
            "city": "OLD MYSTIC",
            "state": "CT",
            "postal_code": "063720223",
            "telephone_number": "860-922-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WASHINGTON ST",
            "address_2": "SUITES 213-214",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552839",
            "telephone_number": "860-922-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW ENGLAND CENTER FOR NATURAL BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERACO",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "860-922-4280",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.