Department of Veteran Affairs

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

DEPARTMENT OF VETERAN AFFAIRS

Practice address

950 Campbell Ave
West Haven, CT 06516-2770

Phone

(203) 479-8066

Fax

(203) 479-8061

NPI assigned

Jan 28, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Annette Logan, MSWNPI 1912134297

Title

Addiction Therapist

Phone

(203) 479-8066

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annette Logan, AT

  • Addiction (Substance Use Disorder) Counselor
  • West Haven, CT
  • NPI 1912134297
  NPD (past) Authorized official

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1952549016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LAWNCREST RD",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151512",
            "telephone_number": "203-389-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CAMPBELL AVE",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162770",
            "telephone_number": "203-479-8066",
            "fax_number": "203-479-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERAN AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADDICTION THERAPIST",
        "authorized_official_telephone_number": "203-479-8066",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Joseph Dempsey, PH.D.
• Elizabeth Demsky
• Jessica Deng
• Anthony M Denos
• Dental Associates of Southern New England, P.C
• Department of Veterans Affair
• Department of Veterans Affairs
• Lauren Depietro
• Harsida Desai, OD
• Jesse James Desanti, R.N.

• Addiction (Substance Use Disorder) Counselor in West Haven, CT
• Providers in West Haven, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.