NPIMap

Organization Active NPI

Gilead Community Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Clinton, CT
National Provider Identifier
1780876839
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
0042 Issued in CT
Legal business name
GILEAD COMMUNITY SERVICES, INC.
Practice address
89 High St
Clinton, CT 06413-1715
Phone
(860) 669-1632
Fax
(860) 669-0040
NPI assigned
Aug 13, 2007
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Mrs. Christine D Leiby
Title
Director of Finance
Phone
(860) 343-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 0042 CT Primary

Addresses

Primary practice location

89 High St
Clinton, CT 06413-1715

Mailing address

PO Box 1000
222 Main Street Extension
Middletown, CT 06457-1000
Phone (860) 343-5300

Other identifiers 1

IdentifierTypeStateIssuer
004246709MedicaidCT

Other names 1

  • SCAP Other name

National Provider Directory

National Provider Directory
Tax ID family
Gilead Community Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1780876839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "222 MAIN STREET EXTENSION",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571000",
            "telephone_number": "860-343-5300",
            "fax_number": "860-343-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 HIGH ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064131715",
            "telephone_number": "860-669-1632",
            "fax_number": "860-669-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "LEIBY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "860-343-5300",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "CT",
            "license": "0042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004246709",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCAP",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SCAP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.