Organization Active NPI

The Children's Community Programs of Connecticut, Inc.

  • Clinical Social Worker
  • East Haven, CT
National Provider Identifier
1831343854
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE CHILDREN'S COMMUNITY PROGRAMS OF CONNECTICUT, INC.
Practice address
290 Dodge Ave
East Haven, CT 06512-3359
Phone
(203) 468-5316
NPI assigned
Nov 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Andrew Sylvester
Title
Chief Financial Officer
Phone
(203) 786-6403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

290 Dodge Ave
East Haven, CT 06512-3359

Mailing address

446 Blake St
New Haven, CT 06515-1286
Phone (203) 786-6403

National Provider Directory

National Provider Directory

Locations

290 Dodge Ave
East Haven, CT 06512
Phone (203) 468-5316

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1831343854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 BLAKE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151286",
            "telephone_number": "203-786-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 DODGE AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123359",
            "telephone_number": "203-468-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHILDREN'S COMMUNITY PROGRAMS OF CONNECTICUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "203-786-6403"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.