NPIMap

Organization Active NPI

Greater New Haven Counseling and Family Therapy Center, LLP

  • Clinical Psychologist
  • Hamden, CT
National Provider Identifier
1780120063
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000614 Issued in CT
Legal business name
GREATER NEW HAVEN COUNSELING AND FAMILY THERAPY CENTER, LLP
Practice address
1844 Whitney Ave
2ND Floor
Hamden, CT 06517-1400
Phone
(203) 407-1310
Fax
(203) 407-1309
NPI assigned
Jan 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Authorized official

Name
Dr. Anthony F Campagna, PH.D.NPI 1649387184
Title
Partner
Phone
(203) 407-1310

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 000614 CT Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1845 CT
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 5770 CT

Addresses

Primary practice location

1844 Whitney Ave
2ND Floor
Hamden, CT 06517-1400

Mailing address

1844 Whitney Ave
2ND Floor
Hamden, CT 06517-1400
Phone (203) 407-1310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180830000118 CT Part B Supplier - Clinic/Group Practice 5890045504 Receives reassigned benefits from 11 practitioners
Practice locations: Hamden, CT

National Provider Directory

National Provider Directory

Locations

1844 Whitney Ave
Ste 2
Hamden, CT 06517
Phone (203) 407-1310

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523836800000",
    "number": "1780120063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 WHITNEY AVE",
            "address_2": "2ND FLOOR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171400",
            "telephone_number": "203-407-1310",
            "fax_number": "203-407-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 WHITNEY AVE",
            "address_2": "2ND FLOOR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171400",
            "telephone_number": "203-407-1310",
            "fax_number": "203-407-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NEW HAVEN COUNSELING AND FAMILY THERAPY CENTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2018-04-16",
        "status": "A",
        "authorized_official_last_name": "CAMPAGNA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-407-1310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "000614",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "1845",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "5770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.