Active NPI
Behavioral Care, Integrated,LLC
- Psychiatry Physician
- West Haven, CT
National Provider Identifier
1992037071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 039083
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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 DirectoryLocations
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.