NPIMap

Organization Active NPI

Hartford Gay & Lesbian Health Collective

  • Dentist
  • Hartford, CT
National Provider Identifier
1992096887
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
007780 Issued in CT
Legal business name
HARTFORD GAY & LESBIAN HEALTH COLLECTIVE
Practice address
1841 Broad St
Hartford, CT 06114-1780
Phone
(860) 278-4163
Fax
(860) 278-5995
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Authorized official

Name
Ms. Linda M. Estabrook, MPH
Title
Executive Director
Phone
(860) 278-4163

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 001588 CT
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 007780 CT Primary
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X 002904 CT
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X R49289 CT
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 000166 CT
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 031112 CT
Clinic/Center 261Q00000X 0302 CT

Addresses

Primary practice location

1841 Broad St
Hartford, CT 06114-1780

Mailing address

1841 Broad St.
Hartford, CT 06114-2094
Phone (860) 278-4163

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1992096887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 BROAD ST.",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061142094",
            "telephone_number": "860-278-4163",
            "fax_number": "860-278-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BROAD ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061141780",
            "telephone_number": "860-278-4163",
            "fax_number": "860-278-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD GAY & LESBIAN HEALTH COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "ESTABROOK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-278-4163",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001588",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": "007780",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "CT",
            "license": "002904",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "R49289",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CT",
            "license": "000166",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CT",
            "license": "031112",
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CT",
            "license": "0302",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 10, 2015; 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.