FULL CIRCLE YOUTH EMPOWERMENT (NPI# 1184193591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184193591 |
| Entity Type | Organization |
| Organization Name | FULL CIRCLE YOUTH EMPOWERMENT |
| Practice Address |
583-585 East Main Street Bridgeport CT 06608 |
| Mailing Address |
2310 Madison Ave Bridgeport CT 06606-3241 |
| Practice Telephone | 2033326200 |
| Practice Fax Number | 2033326202 |
| Mailing Telephone | 2034002725 |
| Mailing Fax Number | 2035578901 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | MS. ANDREA ANDREWS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2034002725 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Full Circle Youth Empowerment, Inc. | 583-585 East Main Street, Bridgeport, CT 06608 |
| Street Address |
583-585 EAST MAIN STREET |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225548332 | Vicarah, LLC | Home Health | 941 East Main Street, Bridgeport, CT 06608 | 2017-10-03 |
| 1285092346 | Heavenly Providers, LLC | Home Health | 1071 William St, Bridgeport, CT 06608 | 2016-02-04 |
| 1659590131 | Annette Tirado | Social Worker | 982 East Main St, Bridgeport, CT 06608 | 2007-04-24 |
| 1629023536 | Brenda I Kulikowski | Midwife | 982 East Main Street, Optimus Health Care, Bridgeport, CT 06608 | 2006-05-23 |
| 1043695588 | Kirithika Mohanathaas | Internal Medicine | 471 Barnum Ave, Bridgeport, CT 06608 | 2015-07-27 |
| 1871749937 | Michele J Feinberg | Psychiatry & Neurology | 982 E Main St, Bridgeport, CT 06608 | 2008-08-08 |
| 1023225646 | Regional Network of Programs, Inc. | Community Based Residential Treatment Facility, Mental Illness | 74 Huntington Rd, Bridgeport, CT 06608-1006 | 2007-05-16 |
| 1295013910 | Lorraine Dionne Brooks-williams | Registered Nurse | 100 Putnam St, Ph, Bridgeport, CT 06608-1045 | 2011-07-29 |
| 1558480673 | City of Bridgeport Health Dept. | Clinic/Center | 479 Helen St, Bridgeport, CT 06608-1321 | 2007-03-28 |
| 1568795094 | Kelly M Bucci-didomenico | Nurse Practitioner | 479 Helen St, Bridgeport, CT 06608-1321 | 2009-09-16 |
| Find all providers in zip 06608 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038685 | Eprine Community Services Inc. | Community/Behavioral Health | 1450 Barnum Ave Ste 202, Bridgeport, CT 06610-3272 | 2020-06-19 |
| 1437600491 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 1549 Fairfield Ave, Bridgeport, CT 06605-1935 | 2016-10-14 |
| 1164891271 | Resources for Human Development, Inc | Community/Behavioral Health | 18 E 4th St, Bridgeport, PA 19405-1460 | 2015-09-18 |
| 1811255805 | Lv Family Resources LLC | Community/Behavioral Health | 63 Beach St, Bridgeport, CT 06608-2201 | 2012-04-26 |
| 1770721011 | The Laam Inc | Community/Behavioral Health | 1115 Main St Ste 309, Bridgeport, CT 06604-4415 | 2009-01-23 |
| 1407033152 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 392 Prospect St, Bridgeport, CT 06604-4625 | 2008-01-24 |
| 1710108444 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 480 Bond St, Bridgeport, CT 06610-2205 | 2007-05-01 |
| 1497295208 | Boys and Girls Village | Community/Behavioral Health | 170 Bennett St, Bridgeport, CT 06605-2901 | 2017-02-27 |
| 1851843205 | Kristin Charney | Community/Behavioral Health | 170 Bennett St, Bridgeport, CT 06605-2901 | 2016-11-02 |
| 1528510203 | Recovery Network of Programs, Inc. | Community/Behavioral Health | 480 Bond St, Bridgeport, CT 06610-2205 | 2016-10-28 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06608 |
Please comment or provide details below to improve the information on FULL CIRCLE YOUTH EMPOWERMENT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.