NPIMap

Organization Active NPI

Jewish Family Service, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeport, CT
National Provider Identifier
1669537668
Registry record updated May 29, 2014
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
JEWISH FAMILY SERVICE, INC.
Practice address
2370 Park Ave
Bridgeport, CT 06604-1617
Phone
(203) 366-5438
Fax
(203) 366-1580
NPI assigned
Dec 27, 2006
Last updated
May 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Mr. Harvey Michael Paris, LCSWNPI 1689701203
Title
President
Phone
(203) 366-5438

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2370 Park Ave
Bridgeport, CT 06604-1617

Mailing address

325 Reef Rd
Suite 210
Fairfield, CT 06824-6537
Phone (203) 366-5438

Other identifiers 1

IdentifierTypeStateIssuer
4067682MedicaidCT

National Provider Directory

National Provider Directory

Locations

2370 Park Ave
Bridgeport, CT 06604
Phone (203) 366-5438

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1669537668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 REEF RD",
            "address_2": "SUITE 210",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246537",
            "telephone_number": "203-366-5438",
            "fax_number": "203-908-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041617",
            "telephone_number": "203-366-5438",
            "fax_number": "203-366-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "PARIS",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-366-5438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4067682",
            "state": "CT"
        }
    ],
    "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 May 29, 2014; 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.