Organization Active NPI

Behavioral Care, Integrated,LLC

  • Psychiatry Physician
  • West Haven, CT
National Provider Identifier
1992037071
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
039083 Issued in CT
Legal business name
BEHAVIORAL CARE, INTEGRATED,LLC
Practice address
687 Campbell Ave Rear
West Haven, CT 06516-3773
Phone
(203) 464-1458
Fax
(203) 562-9576
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Gabriela Balf-Soran, MD
Title
Owner
Phone
(203) 464-1458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 039083 CT Primary

Addresses

Primary practice location

687 Campbell Ave Rear
West Haven, CT 06516-3773

Mailing address

141 Birchwood Dr
Hamden, CT 06518-1141
Phone (203) 464-1458

National Provider Directory

National Provider Directory

Locations

687 Campbell Ave
Rear
West Haven, CT 06516
Phone (203) 464-1458

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1992037071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BIRCHWOOD DR",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065181141",
            "telephone_number": "203-464-1458",
            "fax_number": "203-562-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 CAMPBELL AVE REAR",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065163773",
            "telephone_number": "203-464-1458",
            "fax_number": "203-562-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL CARE, INTEGRATED,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "BALF-SORAN",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-464-1458",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "039083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.