ADULT PSYCHIATRIC CLINIC/CHILD AND FAMILY GUIDANCE CLINIC (Credential# 929853) is licensed (Substance Abuse) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2019. The license expiration date date is March 31, 2021. The license status is ACTIVE.
ADULT PSYCHIATRIC CLINIC/CHILD AND FAMILY GUIDANCE CLINIC is licensed with the Department of Consumer Protection of Connecticut. The credential number is #SA.0000305. The credential type is substance abuse. The effective date is April 1, 2019. The expiration date is March 31, 2021. The business address is 400 Columbus Ave, New Haven, CT 06519-1233. The current status is active.
| Licensee Name | ADULT PSYCHIATRIC CLINIC/CHILD AND FAMILY GUIDANCE CLINIC |
| Business Name | ADULT PSYCHIATRIC CLINIC/CHILD AND FAMILY GUIDANCE CLINIC |
| Doing Business As | ADULT PSYCHIATRIC CLINIC/CHILD AND FAMILY GUIDANCE CLINIC |
| Credential ID | 929853 |
| Credential Number | SA.0000305 |
| Credential Type | Substance Abuse |
| Business Address |
400 Columbus Ave New Haven CT 06519-1233 |
| Business Type | BUSINESS |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2008-07-01 |
| Effective Date | 2019-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2019-03-29 |
| Street Address | 400 COLUMBUS AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1233 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Lucy Evelyn Wojcicki | 400 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Margo Louise Fugate | 400 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Hilary E. Fazzone | 400 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cornell Scott-hill Health Corporation | 400 Columbus Ave, New Haven, CT 06519 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| William F O'meara | 400 Columbus Ave, New Haven, CT 06591 | Controlled Substance Registration for Practitioner | 2012-09-30 ~ 2013-02-28 |
| Max Jean-gilles | 400 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | 1984-06-19 ~ 1987-10-31 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adult Psychiatric Clinic | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Psychiatric Outpatient Clinic | 2019-04-01 ~ 2023-03-31 |
| Pamela Susan Schreiber | 428 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Bevan K Hollingsworth | 428 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Cornell Scott-hill Health Center | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Outpatient Clinic | 2016-10-01 ~ 2020-09-30 |
| Cornell Scott - Hill Health Center Pharmacy | 428 Columbus Ave, New Haven, CT 06519-1233 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Melissa S Lagoy Cnm | 428 Columbus Ave, New Haven, CT 06519-1233 | Controlled Substance Registration for Practitioner | 2004-02-29 ~ 2005-02-28 |
| Bonita Stanton | 428 Columbus Ave, New Haven, CT 06519-1233 | Physician/surgeon | ~ 1984-04-30 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Vinod H Srihari Md | 34 Park St Cmhc, New Haven, CT 06519 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Monica Brito Salinas | 111 Kimberly Ave., New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-27 ~ 2022-02-28 |
| Walter Mathis | 34 Park St., New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kimberly Pizza · Emmanuel Zorgias | 34 Kimberly Ave, New Haven, CT 06519 | Bakery | 2020-07-01 ~ 2021-06-30 |
| Slawomir Piascik | 51 Longhini Lane, New Haven, CT 06519 | Asbestos Abatement Supervisor | 2020-08-01 ~ 2021-07-31 |
| Margaret T Boron | 428 Columbus Ave, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Laura Ann Dicola | Connecticut Mental Health Center Law & Psychiatry, New Haven, CT 06519 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Elizabeth Parson | 689 Congress Ave, New Haven, CT 06519 | Medication Administration Certification | 2020-08-05 ~ 2022-08-04 |
| Alejandra Lopez Cervantes | 10 Hedge St, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-08-31 |
| Deicy Alexandra Urena Dagua | 267 Howard Ave, New Haven, CT 06519 | Combination Nail Technician, Esthetician Or Eyelash Technici | 2020-06-20 ~ 2021-10-31 |
| Find all Licenses in zip 06519 | |||
| City | NEW HAVEN |
| Zip Code | 06519 |
| License Type | Substance Abuse |
| License Type + County | Substance Abuse + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Adult Psychiatric Clinic | 400 Columbus Ave # 428, New Haven, CT 06519-1233 | Psychiatric Outpatient Clinic | 2019-04-01 ~ 2023-03-31 |
| Child Guidance Clinic for Central Connecticut Inc. · Child Guidance Clinic for Central Connecticut, Inc. | 384 Pratt St, Meriden, CT 06450-8627 | Psychiatric Outpatient Clinic | 2019-04-15 ~ 2023-03-31 |
| Child & Family Agency of Southeastern Connecticut, Inc- Child Guidance Clinic/essex | 190 Westbrook Rd, Essex, CT 06426-1518 | Psychiatric Outpatient Clinic | 2019-07-01 ~ 2023-06-30 |
| Child & Family Agency of Southeastern Connecticut, Inc. Child Guidance Clinic of Se Ct-groton/mystic · Child & Family Agency of Southeastern Connecticut, Inc. Child Guidance Clinic of Se Ct-groton/mystic Campus | 591 Poquonnock Rd, Groton, CT 06340-4571 | Psychiatric Outpatient Clinic | 2019-07-01 ~ 2023-06-30 |
| Community Child Guidance Clinic Inc. · Community Child Guidance Clinic, Inc. | 317 N Main St, Manchester, CT 06042-2007 | Substance Abuse | 2015-01-01 ~ 2016-12-31 |
| Child and Family Guidance Center, Inc. | 80 Ferry Blvd, Stratford, CT 06615-6079 | Psychiatric Outpatient Clinic | 2009-04-01 ~ 2017-03-31 |
| Clifford W Beers Guidance Clinic, Inc | 1575 Boston Post Rd, Guilford, CT 06437-2319 | Psychiatric Outpatient Clinic | 2018-07-27 ~ 2022-06-30 |
| Clifford W Beers Guidance Clinic, Inc. · Clifford W Beers Guidance Clinic, Inc | 98 Elm St Unit 6f, West Haven, CT 06516-3879 | Psychiatric Outpatient Clinic | 2019-10-01 ~ 2023-09-30 |
| Clifford W. Beers Guidance Clinic, Inc. | 93 Edwards St, New Haven, CT 06511-3933 | Psychiatric Outpatient Clinic | 2019-07-01 ~ 2023-06-30 |
| Clifford W Beers Guidance Clinic, Inc. | 41 Marne St, Hamden, CT 06514-3610 | Psychiatric Outpatient Clinic | 2017-12-28 ~ 2021-09-30 |
Please comment or provide details below to improve the information on ADULT PSYCHIATRIC CLINIC/CHILD AND FAMILY GUIDANCE CLINIC.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).