Hall-Brooke Behavioral Health Services, Inc.

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

H0005 Issued in CT

Legal business name

HALL-BROOKE BEHAVIORAL HEALTH SERVICES, INC.

Practice address

47 Long Lots Road
Westport, CT 06880-3828

Phone

(203) 221-8801

Fax

(203) 227-0547

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Stewart B. Levine, M.D.

Title

Clinical Director

Phone

(203) 221-8801

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 074000

Legal name

HALL-BROOKE HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Oct 1, 2008

Provider type (POS)

Hospital – Psychiatric

Participating since

Jul 1, 1966

Last certification

Sep 21, 2005

Beds

76

Ownership / control type

Local

Facility address

47 Long Lots Road Box 31
Westport, CT 06880

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1811937139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LONG LOTS ROAD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803828",
            "telephone_number": "203-221-8801",
            "fax_number": "203-227-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 LONG LOTS ROAD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068803828",
            "telephone_number": "203-221-8801",
            "fax_number": "203-227-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL-BROOKE BEHAVIORAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "203-221-8801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CT",
            "license": "H-0005",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CT",
            "license": "H-0005",
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CT",
            "license": "H0005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY ID",
            "identifier": "074000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PART B LEGACY NUMBER",
            "identifier": "C00051",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Gutman
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• Cynthia M. Haddad, PH.D.
• Hall-Brooke Behavioral Health Services, Inc.
• Kristin Kirby Hall, PA-C
• Roopali Hall, D.C.
• Jessica Ann Halmeck, LCSW
• Hands on at Home Physical Therapy, LLC
• Jessica Hansmann, LCSW

• Psychiatric Hospital in Westport, CT
• Providers in Westport, CT by specialty
• Psychiatric Hospital in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.