NPIMap

Organization Active NPI

Hartford Community Mental Health Center Inc.

Doing business as Hartford Behaviora Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hartford, CT
National Provider Identifier
1972592186
Registry record updated Sep 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
0302 Issued in CT
Legal business name
HARTFORD COMMUNITY MENTAL HEALTH CENTER INC.
Doing business as
Hartford Behaviora Health
Practice address
2550 Main St
Hartford, CT 06120-1936
Phone
(860) 727-8703
Fax
(860) 548-2045
NPI assigned
Oct 19, 2005
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Ms. Susan Niemitz, LCSWNPI 1912122367
Title
Executive Director
Phone
(860) 727-8703

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0302 CT Primary

Addresses

Primary practice location

2550 Main St
Hartford, CT 06120-1936

Mailing address

2550 Main St
Hartford, CT 06120-1936
Phone (860) 727-8703

Other names 1

  • Hartford Behaviora Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420001466 CT Part B Supplier - Clinic/Group Practice 9830185552 Receives reassigned benefits from 13 practitioners
Practice locations: Hartford, CT

National Provider Directory

National Provider Directory
Tax ID family
Hartford Community Mental Health Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Main St
Hartford, CT 06106
Phone (860) 525-1900

2550 Main St
Fl 3
Hartford, CT 06120
Phone (860) 548-0101

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1972592186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201936",
            "telephone_number": "860-727-8703",
            "fax_number": "860-548-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MAIN ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061201936",
            "telephone_number": "860-727-8703",
            "fax_number": "860-548-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD COMMUNITY MENTAL HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "NIEMITZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-727-8703",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CT",
            "license": "0302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartford Behaviora Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.