CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI# 1518986660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518986660 |
| Entity Type | Organization |
| Organization Name | CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. |
| Practice Address |
24 Rope Ferry Rd Waterford CT 06385-2807 |
| Mailing Address |
255 Hempstead St New London CT 06320-6204 |
| Practice Telephone | 8604474049 |
| Practice Fax Number | 8604374448 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | LISA BAXTER (CHIEF FINANCIAL AND ADMIN OFFICER) |
| Authorized Official Telephone | 8604432896 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004259017 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414176 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 154 Toll Gate Rd, Groton, CT 06340-3444 | 2019-12-16 |
| 1053652651 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 40 Field St, Pawcatuck, CT 06379-2186 | 2013-03-06 |
| 1962750539 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 160 Fishtown Rd, Mystic, CT 06355-2012 | 2012-08-29 |
| 1881871168 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 500 Poquonnock Rd, Groton, CT 06340-4568 | 2008-01-29 |
| 1043403942 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 40 Shaw St, New London, CT 06320-4922 | 2007-08-23 |
| 1467468025 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 101 Groton Long Point Rd, Groton, CT 06340-4861 | 2006-08-01 |
| 1013921048 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 37 Beech Dr, New London, CT 06320-3003 | 2006-07-27 |
| 1881608834 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 74 Grove St, New London, CT 06320-6515 | 2006-07-27 |
| 1669496048 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 1 Bulkeley Pl, New London, CT 06320-6206 | 2006-07-27 |
| 1467476853 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 7 Vauxhall St, New London, CT 06320-5711 | 2006-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. | 255 Hempstead St, New London, CT 06320-6204 |
| Street Address |
24 ROPE FERRY RD |
| City | WATERFORD |
| State | CT |
| Zip Code | 06385-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932742368 | Sandra M Fine | Social Worker | 24 Rope Ferry Rd, Waterford, CT 06385-2850 | 2019-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073140331 | Megan Plattner | Hearing Instrument Specialist | Waterford Commons 903-915 Hartford Tpke, Store 16, Waterford, CT 06385 | 2020-03-26 |
| 1174032288 | Winakor's Healing Practice | Social Worker | 758 Broad St. Ext., Waterford, CT 06385 | 2017-09-21 |
| 1972029494 | Michael C Marshall | Social Worker | 112 Great Neck Road, Empowerment Counseling Services, LLC, Waterford, CT 06385 | 2017-08-16 |
| 1750810297 | Taylor Anne Tomasetti | Occupational Therapist | 24 Doyle Rd, Waterford, CT 06385 | 2017-06-08 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1467815126 | Sanborn Optometric Associates | Clinic/Center | 900 Hartford-new London Turnpike, Waterford, CT 06385 | 2016-03-31 |
| 1225499007 | Martin L Hellman, Od, Faao, LLC | Optometrist | 850 Waterford Tpke, Waterford, CT 06385 | 2016-03-08 |
| 1861876211 | Mallory Rose Devona | Counselor | 2 Leary Dr, Waterford, CT 06385 | 2015-07-15 |
| 1336571843 | Carrie M Reynolds | Surgery | 5 Scenic View Dr, Waterford, CT 06385 | 2013-08-07 |
| 1194085076 | Meghana Rao Brito | Internal Medicine | 196 Waterford Pkwy S Ste 103, Waterford, CT 06385 | 2012-05-24 |
| Find all providers in zip 06385 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593963 | Recovered Chiropractic | Clinic/Center | 5140 Highland Rd # 1912, Waterford, MI 48327-1912 | 2019-11-19 |
| 1366993214 | Ascension Naturopathic Healing Center LLC | Clinic/Center | 175 Boston Post Road, Floor 1, Waterford, CT 06385 | 2016-10-16 |
| 1811212228 | Child & Family Agency of Southeastern Ct., Inc | Clinic/Center | 51 Daniels Ave, Waterford, CT 06385-2629 | 2010-03-30 |
| 1700821188 | Lake Diagnostics, Inc. | Clinic/Center | 3550 Pontiac Lake Rd, Waterford, MI 48328-2337 | 2006-06-18 |
| 1710247853 | Lynn Behavorial Services, P.C. | Clinic/Center | 6620 Highland Rd, # 103, Waterford, MI 48327-1682 | 2012-05-23 |
| 1295871770 | Michigan Neurosurgical Specialists PC | Clinic/Center | 5220 Highland Rd, Suite 210, Waterford, MI 48327-1913 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039093 | Thrive Haven LLC | Clinic/Center | 195 James St Fl 1, New Haven, CT 06513-3847 | 2020-10-05 |
| 1083229165 | Kusher Functional Medicine Center PC | Clinic/Center | 76 Eastern Blvd Ste 103, Glastonbury, CT 06033-4382 | 2020-09-15 |
| 1609414176 | Child and Family Agency of Southeastern Connecticut, Inc. | Clinic/Center | 154 Toll Gate Rd, Groton, CT 06340-3444 | 2019-12-16 |
| 1811532500 | Alpha Wave Health Centers LLC | Clinic/Center | 10 Waterside Dr Ste 101, Farmington, CT 06032-3056 | 2019-11-17 |
| 1093282360 | Tms Neurohealth Pllc | Clinic/Center | 728 Post Rd E Ste 202, Westport, CT 06880-5200 | 2018-10-25 |
| 1982179784 | Wellness Primary Care Pllc | Clinic/Center | 291 S Lambert Rd Ste 5, Orange, CT 06477-3559 | 2018-10-08 |
| 1366953705 | Connecticut Neurodiagnostics, LLC | Clinic/Center | 83 Wooster Heights Rd., Suite 125, Office 145, Danbury, CT 06810 | 2017-10-12 |
| 1235588625 | Family Centers Inc. | Clinic/Center | 1 Wilbur Peck Ct Lowr Level, Greenwich, CT 06830-6354 | 2016-06-07 |
| 1578926424 | Chiropractic Wellness Center | Clinic/Center | 75 Hazard Ave Unit I, Enfield, CT 06082-3887 | 2016-03-29 |
| 1306251210 | Apple Valley Health and Family Chiropractic, LLC | Clinic/Center | 1850 West St, Southington, CT 06489 | 2014-06-30 |
| Find all providers with the same taxonomy | ||||
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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.