NPIMap

Organization Active NPI

Better Life- Mental Health LLC

  • Adult Mental Health Clinic/Center
  • Bethany, CT
National Provider Identifier
1780920314
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
039209 Issued in CT
Legal business name
BETTER LIFE- MENTAL HEALTH LLC
Practice address
15 Rainbow Rd
Bethany, CT 06524-3145
Phone
(203) 393-9120
NPI assigned
Dec 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Shaukat A Khan, M.D.NPI 1487750410
Title
Owner
Phone
(203) 494-6206

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 039209 CT Primary

Addresses

Primary practice location

15 Rainbow Rd
Bethany, CT 06524-3145

Mailing address

21 Hazel Ter
Suite B
Woodbridge, CT 06525-2209
Phone (203) 389-6000

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": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1780920314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HAZEL TER",
            "address_2": "SUITE B",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252209",
            "telephone_number": "203-389-6000",
            "fax_number": "203-389-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RAINBOW RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243145",
            "telephone_number": "203-393-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER LIFE- MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAUKAT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-494-6206",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "039209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.