location
search-icon
institution
Southern Ct Christian Network
Forensic Psychiatry Physician in Madison, Connecticut
NPI 1033239249

Southern Ct Christian Network is a Forensic Psychiatry Physician based in Madison, CT and is specialized in Forensic Psychiatry. Southern Ct Christian Network practices in Madison, CT. The NPI Number for Southern Ct Christian Network is 1033239249 and holds a License No. 001460 (Connecticut).

The current practice location address for Southern Ct Christian Network is 145 Durham Rd, Madison, CT and can be reached out via phone at 203-318-0070 and via fax at 206-339-8205.

Location: 145 Durham Rd, Madison, CT, 06443-2674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033239249
Provider Name
Southern Ct Christian Network
Credential
Provider Entity Type
Organization
Address
145 Durham Rd, Madison, CT, 06443-2674
Phone Number
203-318-0070
Fax Number
206-339-8205
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
004257269 05 CT
004257277 05 CT
307875 01 CT HEALTHNET-MHN
004257532 05 CT
institution
Provider Business Practice Location Address Details
Address
145 Durham Rd
City
Madison
State
Connecticut
Zip
06443-2674
Phone Number
203-318-0070
Fax Number
206-339-8205
person
Provider Business Mailing Address Details
Address
145 Durham Rd
City
Madison
State
Connecticut
Zip
06443-2674
Phone Number
203-318-0070
Fax Number
206-339-8205
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
004809 (Connecticut)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
002876 (Connecticut)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Forensic Psychiatry
Taxonomy
2084F0202X
License No.
001460 (Connecticut)
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.