NPIMap

Organization Active NPI

State of Connecticut

Doing business as Southwest Connecticut Mental Health System

  • Psychiatric Hospital
  • Bridgeport, CT
National Provider Identifier
1720013360
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
STATE OF CONNECTICUT
Doing business as
Southwest Connecticut Mental Health System
Practice address
1635 Central Ave
Bridgeport, CT 06610
Phone
(203) 551-7660
Fax
(203) 551-7481
NPI assigned
Jul 12, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Authorized official

Name
Ms. Christina Arias
Title
Director of Health Care Finance
Phone
(860) 418-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

1635 Central Ave
Bridgeport, CT 06610

Mailing address

1635 Central Ave
Bridgeport, CT 06610-2717
Phone (203) 551-7660

Other identifiers 5

IdentifierTypeStateIssuer
004120060MedicaidCT
004075651MedicaidCT
004025607MedicaidCT
004075669MedicaidCT
004122925MedicaidCT

Other names 1

  • Southwest Connecticut Mental Health System Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040319000785 CT Part B Supplier - Clinic/Group Practice 8022915677 Receives reassigned benefits from 131 practitioners
Practice locations: Bridgeport, CT; Stamford, CT
O20101108000683 CT Part A Provider - Hospital 8022915677 Practice locations: Bridgeport, CT; Stamford, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720013360. Details of each certification follow.

Hospital certification: CCN 074012

Legal name
STATE OF CONNECTICUT
Doing business as
SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM (SWCMHS)
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
May 2, 1988
Last certification
Sep 27, 2017
Beds
62 (52 certified)
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
1635 Central Ave
Bridgeport, CT 66102717
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Southwest Connecticut Mental Health SystemCCN 074012 · All quality measures
Type
Psychiatric
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

100 Fairfield Ave
Bridgeport, CT 06604
Phone (203) 551-7464

1635 Central Ave
Bridgeport, CT 06610
Phone (203) 551-7464

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Christina Arias Individual Corporate DirectorDirector of Healthcare Finance Jan 1, 2022
W-2 Managing EmployeeDirector of Healthcare Finance Jan 1, 2022
State of Connecticut Organization, Hartford, CT Non-profit Operational/Managerial Control May 2, 1988

Owners & managing parties with NPI records 10

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
John Dempsey HospitalFarmington, CT, CCN 070036 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Albert J. Solnit Children's Center - South CampusMiddletown, CT, CCN 074015 Hospital Operational/Managerial Control (100%) Jun 1, 2011
Conneticut Valley HospitalHartford, CT, CCN 074003 Hospital Operational/Managerial Control Mar 30, 2015
Connecticut Mental Health CenterNew Haven, CT, CCN 074011 Hospital Operational/Managerial Control Mar 30, 2015
John L. Levitow Health Care CenterRocky Hill, CT, CCN 075443 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Mar 4, 2020
Jan 1, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 207

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.

View all 207

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1720013360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 CENTRAL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102717",
            "telephone_number": "203-551-7660",
            "fax_number": "203-551-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CENTRAL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06610",
            "telephone_number": "203-551-7660",
            "fax_number": "203-551-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH CARE FINANCE",
        "authorized_official_telephone_number": "860-418-6800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004120060",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004075651",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004025607",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004075669",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004122925",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Connecticut Mental Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.