Active NPI
Southeastern Council on Alcoholism and Drug Dependence
- Early Intervention Provider Agency
- Norwich, CT
National Provider Identifier
1740591296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Bozrah, CT
- NPI 1932153756
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.