Community Residences, INC.
Clinic/Center, Adolescent and Children Mental Health in Newington, Connecticut
1063782662- Practice location
- 205 Kelsey St, Unit 12, Newington, CT 06111-5436
- Phone
- 860-878-6858
- Fax
- 860-665-9679
- Last updated
- November 2, 2026
Community Residences, INC. is a healthcare organization based in Newington, CT. Community Residences, INC. practices in Newington, CT. The NPI Number for Community Residences, INC. is 1063782662 and holds a License No. 0520 (CT). The current practice location address for Community Residences, INC. is 205 Kelsey St, Unit 12, Newington, CT 06111-5436 and can be reached out via phone at 860-878-6858 and via fax at 860-665-9679.
Provider Profile Details
- NPI Number
- 1063782662
- Provider Name
- Community Residences, INC.
- Provider Entity Type
- Organization
- Address
- 205 Kelsey St, Unit 12, Newington, CT 06111-5436
- Phone Number
- 860-878-6858
- Fax Number
- 860-665-9679
- Primary Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Organization Subpart
- No
- Authorized Official
- Pamela Paisey · President/Ceo · 860-621-7600
- Provider Enumeration Date
- January 12, 2012
- Last Update Date
- November 2, 2026
- Certification Date
- November 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205 Kelsey St
Unit 12
Newington, CT 06111-5436 - City
- Newington
- State
- Connecticut
- Zip
- 06111-5436
- Phone Number
- 860-878-6858
- Fax Number
- 860-665-9679
Provider Business Mailing Address Details
- Address
- 50 Rockwell RD
Newington, CT 06111-5526 - City
- Newington
- State
- CT
- Zip
- 06111-5526
- Phone Number
- 860-621-7600
- Fax Number
- 860-620-9846
License Information
- License Number (1)
- 0520
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Adult Mental Health · 261QM0850X
- License Number (2)
- opcc68
- License State (2)
- CT
- Taxonomy (2)
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · Primary
- License Number (3)
- 0432
- License State (3)
- CT
- Taxonomy (3)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
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 Community Residences, INC.?
The NPI number of Community Residences, INC. is 1063782662. It was assigned on January 12, 2012 and is currently active in the NPPES registry.
What is the specialty of Community Residences, INC.?
Community Residences, INC. is registered under the primary taxonomy Clinic/Center, Adolescent and Children Mental Health (code 261QM0855X), licensed in CT under license number 0520.
Where does Community Residences, INC. practice?
The practice location is 205 Kelsey St, Unit 12, Newington, CT 06111-5436. The office can be reached at 860-878-6858 (phone) or 860-665-9679 (fax).
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 1063782662 directly on the NPPES registry website.