Psychiatric Treatment & Resource Center Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

001868 Issued in CT

Legal business name

PSYCHIATRIC TREATMENT & RESOURCE CENTER INC.

Practice address

647 Main St
East Haven, CT 06512-2032

Phone

(203) 672-5956

Fax

(203) 404-7126

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Linda Susan GrisgraberNPI 1922051135

Title

Aprn2035565225

Phone

(203) 556-5225

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Linda Grisgraber, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • East Haven, CT
  • NPI 1922051135
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1740587526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122919",
            "telephone_number": "203-672-5956",
            "fax_number": "203-404-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 MAIN ST",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065122032",
            "telephone_number": "203-672-5956",
            "fax_number": "203-404-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC TREATMENT & RESOURCE CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "GRISGRABER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "APRN2035565225",
        "authorized_official_telephone_number": "203-556-5225",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "001868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL SPECIALIST PSYCH MENTAL HEALTH",
            "identifier": "364SP0808X",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin Phelan, LPC
• Physiotherapy Associates Inc
• Keith Pirraglia, BCBA, LBA
• Domanice Poindexter, ACNPC-AG
• Carl P. Prota, D.M.D.
• R.E.Steller,D.M.D.,P.C.
• Rai of Sonshine Wellness
• Roberto Alex Ramos Jr.
• Danuta Malgorzata Reczek, DPM
• Kourtney Elizabeth Reed

• Adult Mental Health Clinic/Center in East Haven, CT
• Providers in East Haven, CT by specialty
• Adult Mental Health Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.