NPIMap

Organization Active NPI

St. Vincent's Behavioral Health Services

  • Psychiatric Hospital
  • Bridgeport, CT
National Provider Identifier
1861767402
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
001418 Issued in CT
Legal business name
ST. VINCENT'S BEHAVIORAL HEALTH SERVICES
Practice address
2400 Main St
Bridgeport, CT 06606-5323
Phone
(203) 362-3914
Fax
(203) 362-2463
NPI assigned
Mar 15, 2012
Last updated
Mar 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Mr. Anthony P Fusco, L.P.C.NPI 1568728624
Title
Treatment Coordinator
Phone
(203) 362-3914

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 001418 CT Primary

Addresses

Primary practice location

2400 Main St
Bridgeport, CT 06606-5323

Mailing address

2400 Main St
Bridgeport, CT 06606-5323

National Provider Directory

National Provider Directory
Tax ID family
St Vincents Medical Ctr5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1861767402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066065323",
            "telephone_number": "203-362-3914",
            "fax_number": "203-362-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. VINCENT'S BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "FUSCO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "203-362-3914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "CT",
            "license": "001418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.