NPIMap

Organization Active NPI

Clifford W. Beers Guidance Clinic Inc

  • Primary Care Clinic/Center
  • Hamden, CT
National Provider Identifier
1841781382
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
935 Issued in CT
Legal business name
CLIFFORD W. BEERS GUIDANCE CLINIC INC
Practice address
41 Marne St
Hamden, CT 06514
Phone
(203) 691-9383
NPI assigned
May 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Authorized official

Name
Ms. Kristen Harris
Title
General Counsel,Chief Compliance of
Phone
(203) 777-8648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 935 CT Primary

Addresses

Primary practice location

41 Marne St
Hamden, CT 06514

Mailing address

5 Science Park
New Haven, CT 06511-1966
Phone (203) 777-8648

National Provider Directory

National Provider Directory
Tax ID family
Clifford Beers Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

41 Marne St
Hamden, CT 06514
Phone (203) 691-9383

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1841781382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SCIENCE PARK",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111966",
            "telephone_number": "203-777-8648",
            "fax_number": "203-785-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MARNE ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "203-691-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFFORD W. BEERS GUIDANCE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "GENERAL COUNSEL,CHIEF COMPLIANCE OF",
        "authorized_official_telephone_number": "203-777-8648",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CT",
            "license": "935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.