NPIMap

Organization Active NPI

Post Traumatic Stress Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Haven, CT
National Provider Identifier
1972588895
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
POST TRAUMATIC STRESS CENTER
Practice address
19 Edwards St
New Haven, CT 06511-7313
Phone
(203) 624-2146
Fax
(203) 624-2791
NPI assigned
Dec 13, 2005
Last updated
Mar 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Hadar Lubin, MDNPI 1235286451
Title
Co-Director
Phone
(203) 624-2146

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0892 CT
Psychiatry Physician 2084P0800X 032090 CT
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 001420 CT

Addresses

Primary practice location

19 Edwards St
New Haven, CT 06511-7313

Mailing address

19 Edwards St
New Haven, CT 06511-7313
Phone (203) 624-2146

National Provider Directory

National Provider Directory

Locations

19 Edwards St
New Haven, CT 06511
Phone (203) 215-0658

Practitioners & affiliated clinicians

Practitioners 8

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": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1972588895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117313",
            "telephone_number": "203-624-2146",
            "fax_number": "203-624-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EDWARDS ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065117313",
            "telephone_number": "203-624-2146",
            "fax_number": "203-624-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST TRAUMATIC STRESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "HADAR",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "203-624-2146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "0892",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "032090",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "001420",
            "primary": false
        }
    ],
    "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 Mar 16, 2012; 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.