Spectrum Professional Services LLC
Community/Behavioral Health in Waterbury, Connecticut
1013362771- Practice location
- 77-79 Bishop St, Waterbury, CT 06704-3306
- Phone
- 203-756-7987
- Fax
- —
- Last updated
- August 31, 2016
Spectrum Professional Services LLC is a healthcare organization based in Waterbury, CT. Spectrum Professional Services LLC practices in Waterbury, CT. The NPI Number for Spectrum Professional Services LLC is 1013362771 and holds a License No. 1113 (CT). The current practice location address for Spectrum Professional Services LLC is 77-79 Bishop St, Waterbury, CT 06704-3306 and can be reached out via phone at 203-756-7987.
Provider Profile Details
- NPI Number
- 1013362771
- Provider Name
- Spectrum Professional Services LLC
- Provider Entity Type
- Organization
- Address
- 77-79 Bishop St, Waterbury, CT 06704-3306
- Phone Number
- 203-756-7987
- Primary Taxonomy
- Community/Behavioral Health · 251S00000X
- Organization Subpart
- No
- Authorized Official
- Lacey Brandon, LMSW · Director · 203-695-4917
- Provider Enumeration Date
- May 2, 2016
- Last Update Date
- August 31, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 77-79 Bishop St
Waterbury, CT 06704-3306 - City
- Waterbury
- State
- Connecticut
- Zip
- 06704-3306
- Phone Number
- 203-756-7987
Provider Business Mailing Address Details
- Address
- 77-79 Bishop Street
Waterbury, CT 06704-1443 - City
- Waterbury
- State
- CT
- Zip
- 06704-1443
License Information
- License Number (1)
- 1113
- License State (1)
- CT
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- License Number (2)
- 2384
- License State (2)
- CT
- Taxonomy (2)
- Community/Behavioral Health · 251S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Spectrum Professional Services LLC?
The NPI number of Spectrum Professional Services LLC is 1013362771. It was assigned on May 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Spectrum Professional Services LLC?
Spectrum Professional Services LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X), licensed in CT under license number 1113.
Where does Spectrum Professional Services LLC practice?
The practice location is 77-79 Bishop St, Waterbury, CT 06704-3306. The office can be reached at 203-756-7987 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013362771 directly on the NPPES registry website.