New Greenwood Behavioral Health, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

NEW GREENWOOD BEHAVIORAL HEALTH, INC.

Practice address

4 Research Dr
Shelton, CT 06484-6280

Phone

(203) 516-0074

NPI assigned

Nov 17, 2021

Organization subpart

Yes

Parent organization

NEW GREENWOOD INITIATIVES, INC.As reported in NPPES

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

Authorized official

Name

Dr. Ramanpreet Randhawa, MD

Title

Ass. Director of Operations

Phone

(203) 516-0074

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1821754540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 CHERRY ST STE 233",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603466",
            "telephone_number": "203-516-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RESEARCH DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846280",
            "telephone_number": "203-516-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GREENWOOD BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW GREENWOOD INITIATIVES, INC.",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "RANDHAWA",
        "authorized_official_first_name": "RAMANPREET",
        "authorized_official_title_or_position": "ASS. DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "203-516-0074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Shelton, CT
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.