NPIMap

Organization Active NPI

Dixwell Newhallville Community Mental Health Services, NC.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Haven, CT
National Provider Identifier
1922291319
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
005398 Issued in CT
Legal business name
DIXWELL NEWHALLVILLE COMMUNITY MENTAL HEALTH SERVICES, NC.
Practice address
660 Winchester Ave
New Haven, CT 06511-1969
Phone
(203) 776-8390
Fax
(203) 773-0788
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 005398 CT 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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1922291319",
    "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": "203-773-0788"
        },
        {
            "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": "203-773-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXWELL NEWHALLVILLE COMMUNITY MENTAL HEALTH SERVICES, NC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2007-08-20",
        "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": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "005398",
            "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 Aug 20, 2007; 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.