Organization Active NPI

Hockanum Valley Community Council

  • Community/Behavioral Health Agency
  • Vernon, CT
National Provider Identifier
1679957732
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1898 Issued in CT
Legal business name
HOCKANUM VALLEY COMMUNITY COUNCIL
Practice address
27 Naek Rd Ste 4
Vernon, CT 06066-3965
Phone
(860) 872-9825
Fax
(860) 870-9384
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Ms. Tamara A Bojarski, LMSW
Title
Clinician
Phone
(860) 872-9825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1898 CT Primary

Addresses

Primary practice location

27 Naek Rd Ste 4
Vernon, CT 06066-3965

Mailing address

27 Naek Rd Ste 4
Vernon, CT 06066-3965
Phone (860) 872-9825

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1679957732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 NAEK RD STE 4",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663965",
            "telephone_number": "860-872-9825",
            "fax_number": "860-870-9384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NAEK RD STE 4",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663965",
            "telephone_number": "860-872-9825",
            "fax_number": "860-870-9384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOCKANUM VALLEY COMMUNITY COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "BOJARSKI",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "860-872-9825",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "1898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.