Catholic Charities of Fairfield County, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CATHOLIC CHARITIES OF FAIRFIELD COUNTY, INC.

Practice address

238 Jewett Ave
Bridgeport, CT 06606-2845

Phone

(203) 416-1318

Fax

(203) 373-0835

NPI assigned

Apr 16, 2007

Last updated

Aug 14, 2012By 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

Al Barber

Title

President & Chief Operating Officer

Phone

(203) 416-1307

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Catholic Charities - Bridgeport Other name

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1831314970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 JEWETT AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062845",
            "telephone_number": "203-416-1318",
            "fax_number": "203-373-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 JEWETT AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062845",
            "telephone_number": "203-416-1318",
            "fax_number": "203-373-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF FAIRFIELD COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "203-416-1307"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004040655",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities - Bridgeport",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karla Castillo
• Simon Andres Castro Montenegro, MD
• Cathartic Breakthroughs, LLC
• Catholic Charities of Fairfield County, Inc.
• Catholic Charities of Fairfield County, Inc.
• Lynda Kay Catuccio, PT
• Michael John Cavaliere, MD
• Victor Cazac, M.D.
• Leah Cefaloni, MAAT, LPC
• Kristine Anne Genoguin Celecios, RN

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

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