NPIMap

Organization Active NPI

State of Connecticut

  • Psychiatric Hospital Unit
  • Farmington, CT
National Provider Identifier
1902891682
Registry record updated Jun 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
00065 Issued in CT
Legal business name
STATE OF CONNECTICUT
Practice address
263 Farmington Avenue
Farmington, CT 06030-5355
Phone
(860) 679-2916
Fax
(860) 679-3071
NPI assigned
Sep 19, 2005
Last updated
Jun 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2009

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

Authorized official

Name
Mr. John Biancamano
Title
Chief Financial Officer
Phone
(860) 679-1145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 00065 CT Primary

Addresses

Primary practice location

263 Farmington Avenue
Farmington, CT 06030-5355

Mailing address

263 Farmington Avenue
Farmington, CT 06030-5355
Phone (860) 679-2916

Other names 1

  • John Dempsey Hospital- Subprovider Other name

National Provider Directory

National Provider Directory

Locations

101 The City Dr S
Bldg 22C
Orange, CA 92868
Phone (714) 456-2265

3301 C St
Ste 1300
Sacramento, CA 95816
Phone (916) 734-6111

Practitioners & affiliated clinicians

Practitioners 10

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": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1902891682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060305355",
            "telephone_number": "860-679-2916",
            "fax_number": "860-679-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 FARMINGTON AVENUE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060305355",
            "telephone_number": "860-679-2916",
            "fax_number": "860-679-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "BIANCAMANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "860-679-1145",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CT",
            "license": "00065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Dempsey Hospital- Subprovider",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.