Northeast Behavioral Associates of CT. Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-01-0652 Issued in MA

Legal business name

NORTHEAST BEHAVIORAL ASSOCIATES OF CT. INC.

Practice address

769 Newfield St Ste 5
Middletown, CT 06457-1846

Phone

(860) 754-7735

NPI assigned

Nov 19, 2009

Last updated

Jul 12, 2010By 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

Dr. Peter C. Patch, PSYDNPI 1629087564

Title

Executive Director

Phone

(860) 754-7735

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Charles Patch, PSYD

  • Clinical Psychologist
  • Attleboro, MA
  • NPI 1629087564
  Authorized official Same address or phone

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1851629497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 HEBRON AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027037241",
            "telephone_number": "781-929-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 NEWFIELD ST STE 5",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571846",
            "telephone_number": "860-754-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST BEHAVIORAL ASSOCIATES OF CT. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "PATCH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-754-7735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MA",
            "license": "1-01-0652",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christelle Nimba, NP
• Alexandra Lynn Nobili, LPC
• Julie Ann Nocera, R.D.H.
• Laura Noga, LMSW
• Michael Albert Norko, MD
• Northeast Hearing LLC (Miracle Ear)
• Northpoint Psychiatric Consultants LLC
• Elizabeth Jane Northrop, M.D.
• Stephanie Noto, LPC
• Daniel B Novak, MD

• Behavior Analyst in Middletown, CT
• Providers in Middletown, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.