NPIMap

Organization Active NPI

Child Guidance Center of Southern Connecticut

  • Community/Behavioral Health Agency
  • Stamford, CT
National Provider Identifier
1932539640
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT
Practice address
196 Greyrock PL
Stamford, CT 06901-2006
Phone
(203) 517-3300
NPI assigned
Nov 15, 2013
Last updated
Nov 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Michael Haas, M.A.
Title
Clinical Services Intern
Phone
(203) 517-3372

Specialties & licenses 1

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

Addresses

Primary practice location

196 Greyrock PL
Stamford, CT 06901-2006

Mailing address

196 Greyrock PL
Stamford, CT 06901-2006

National Provider Directory

National Provider Directory
Tax ID family
Child Guidance Center of Southern Connecticut9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1932539640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 GREYROCK PL",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069012006",
            "telephone_number": "203-517-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE CENTER OF SOUTHERN CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL SERVICES INTERN",
        "authorized_official_telephone_number": "203-517-3372",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.