Quinnipiack Valley Health District

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

0241 Issued in CT

Legal business name

QUINNIPIACK VALLEY HEALTH DISTRICT

Practice address

1151 Hartford Turnpike
North Haven, CT 06473-3041

Phone

(203) 248-4528

Fax

(203) 248-6671

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Linda M Altieri

Title

Bookkeeper

Phone

(203) 248-4528

Specialties & licenses 4

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675382400000",
    "number": "1679618581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 HARTFORD TURNPIKE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733041",
            "telephone_number": "203-248-4528",
            "fax_number": "203-248-6671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 HARTFORD TURNPIKE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733041",
            "telephone_number": "203-248-4528",
            "fax_number": "203-248-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINNIPIACK VALLEY HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "ALTIERI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "203-248-4528"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CT",
            "license": "0241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OR2816",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY PLAN",
            "identifier": "96MSBC047CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PSYCHOSOCIAL",
            "identifier": "140003056CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "206321",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "142547",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MEDICAL",
            "identifier": "400001036CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "A667400",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004141008",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Proto, ATR, LPC
• Ptsma, Inc.
• James Edward Pucci, D.M.D.
• Pulmonary Function Cooperative LLC
• Quinnipiac Physical Therapy & Sports Medicine PC
• Lorraine Rabach, DMD
• Martin Mitchell Rabach, DDS
• Mariella Racamato, OTR/L
• Rachel Collins, LPC
• Rachel Collins, LPC

• Health Service Clinic/Center in North Haven, CT
• Providers in North Haven, CT by specialty
• Health Service Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; 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.