Behavior Services of New England

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

002562 Issued in CT

Legal business name

BEHAVIOR SERVICES OF NEW ENGLAND

Practice address

185 Fabyan Rd
North Grosvenordale, CT 06255-1506

Phone

(860) 315-0565

Fax

(860) 315-0565

NPI assigned

Jan 27, 2015

Last updated

Jan 27, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Weinberg, PH.D., LP, BCBA-D

Title

Manager

Phone

(860) 315-0565

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• N/A Other name

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1811387012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FABYAN RD",
            "city": "NORTH GROSVENORDALE",
            "state": "CT",
            "postal_code": "062551506",
            "telephone_number": "860-315-0565",
            "fax_number": "860-315-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 FABYAN RD",
            "city": "NORTH GROSVENORDALE",
            "state": "CT",
            "postal_code": "062551506",
            "telephone_number": "860-315-0565",
            "fax_number": "860-315-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR SERVICES OF NEW ENGLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "WEINBERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-315-0565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LP, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "002562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851572598",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Noah Demers Aubin
• Kailey Bennett, COTA/L
• Nita Chatterjee, M.D.
• Natalee Giselle Cifuentes, DPT
• Tanya Lee Clark, OTD, OTR/L
• Lisa Kim Diamond

• Community/Behavioral Health Agency in North Grosvenordale, CT
• Providers in North Grosvenordale, CT by specialty
• Community/Behavioral Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.