Organization Active NPI

Dixwell/Newhallville Community Mental Health Services

  • Community/Behavioral Health Agency
  • New Haven, CT
National Provider Identifier
1891087722
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DIXWELL/NEWHALLVILLE COMMUNITY MENTAL HEALTH SERVICES
Practice address
660 Winchester Ave
New Haven, CT 06511-1969
Phone
(203) 776-8390
Fax
(203) 776-4176
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Mr. Robert Page, LCSW
Title
Executive Director
Phone
(203) 776-8390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

660 Winchester Ave
New Haven, CT 06511-1969

Mailing address

660 Winchester Ave
New Haven, CT 06511-1969
Phone (203) 776-8390

National Provider Directory

National Provider Directory
Tax ID family
Dixwell Newhallville Community Mental Health Services NC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1891087722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WINCHESTER AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111969",
            "telephone_number": "203-776-8390",
            "fax_number": "203-776-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 WINCHESTER AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111969",
            "telephone_number": "203-776-8390",
            "fax_number": "203-776-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXWELL/NEWHALLVILLE COMMUNITY MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "203-776-8390",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.