Organization Active NPI

Southeastern Council on Alcoholism and Drug Dependence

  • Early Intervention Provider Agency
  • Norwich, CT
National Provider Identifier
1740591296
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE
Practice address
321 Main St
Norwich, CT 06360-5840
Phone
(860) 889-3178
Fax
(860) 889-3414
NPI assigned
Jun 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Mr. Lloyd Barber, ICADC, CAC, CSS
Title
Outpatient Director
Phone
(860) 889-3178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

321 Main St
Norwich, CT 06360-5840

Mailing address

321 Main St
Norwich, CT 06360-5840
Phone (860) 889-3178

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": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1740591296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605840",
            "telephone_number": "860-889-3178",
            "fax_number": "860-889-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063605840",
            "telephone_number": "860-889-3178",
            "fax_number": "860-889-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN COUNCIL ON ALCOHOLISM AND DRUG DEPENDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "OUTPATIENT DIRECTOR",
        "authorized_official_telephone_number": "860-889-3178",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ICADC, CAC, CSS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.