Organization Active NPI

Burgeon Behavioral Health

  • Addiction (Substance Use Disorder) Counselor
  • Manchester, CT
National Provider Identifier
1700619665
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
BURGEON BEHAVIORAL HEALTH
Practice address
869 Main St Apt 3
Manchester, CT 06040-6052
Phone
(860) 906-2951
NPI assigned
Aug 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Authorized official

Name
Mr. Bernard Ashirifie, LADCNPI 1538689534
Title
Substance Abuse Counselor
Phone
(860) 906-2951

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

869 Main St Apt 3
Manchester, CT 06040-6052

Mailing address

869 Main St Apt 3
Manchester, CT 06040-6052
Phone (860) 906-2951

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1700619665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 MAIN ST APT 3",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406052",
            "telephone_number": "860-906-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 MAIN ST APT 3",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406052",
            "telephone_number": "860-906-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGEON BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-24",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "ASHIRIFIE",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "SUBSTANCE ABUSE COUNSELOR",
        "authorized_official_telephone_number": "860-906-2951",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.