CHAPEL HAVEN, INC. (NPI# 1487023693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487023693 |
| Entity Type | Organization |
| Organization Name | CHAPEL HAVEN, INC. |
| Practice Address |
1040 Whalley Ave New Haven CT 06515-1740 |
| Practice Telephone | 2033971714 |
| Mailing Telephone | 2033971714 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| Authorized Official Name | MR. MICHAEL STORZ (PRESIDENT) |
| Authorized Official Telephone | 2033971714 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
1040 WHALLEY AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730559725 | Sarah Davison | Speech-Language Pathologist | 1040 Whalley Ave, Chapel Haven - Asat Program, New Haven, CT 06515-1740 | 2015-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
| Find all providers in zip 06515 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861999450 | Pathfinder Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4438 Haney Ct, New Haven, IN 46774-1777 | 2018-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720208606 | Benhaven Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 187 Half Mile Rd, North Haven, CT 06473-4121 | 2007-04-26 |
| 1356404057 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1 Hamden Ctr, 2313 Whitney Ave. Suite 1b, Hamden, CT 06518-3509 | 2006-12-18 |
| 1073744991 | Ability Beyond Disability | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4 Berkshire Blvd, Bethel, CT 06801-1001 | 2009-07-28 |
| 1326101452 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 68 Southfield Ave, 2nd Floor, # 260, Stamford, CT 06902-7237 | 2006-12-19 |
| 1700949831 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 111 Founders Plz, Suite 103, East Hartford, CT 06108-3212 | 2006-12-19 |
| 1376606400 | Care Focus, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 351 N Frontage Rd, Suite 200, New London, CT 06320-2628 | 2006-12-19 |
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| 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.