Active NPIOrganization

Western Connecticut Behavioral Health

Psychologist, Clinical in Brookfield, Connecticut

NPI Number1144561051
Practice location
828 Federal RD, 2ND Floor, Brookfield, CT 06804-1830
Fax
203-702-5345
Last updated
September 21, 2015

Western Connecticut Behavioral Health is a healthcare organization based in Brookfield, CT. Western Connecticut Behavioral Health practices in Brookfield, CT. The NPI Number for Western Connecticut Behavioral Health is 1144561051 and holds a License No. 3248 (CT). The current practice location address for Western Connecticut Behavioral Health is 828 Federal RD, 2ND Floor, Brookfield, CT 06804-1830 and can be reached out via phone at 203-885-0500 and via fax at 203-702-5345.

Provider Profile Details

NPI Number
1144561051
Provider Name
Western Connecticut Behavioral Health
Provider Entity Type
Organization
Address
828 Federal RD, 2ND Floor, Brookfield, CT 06804-1830
Phone Number
203-885-0500
Fax Number
203-702-5345
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Jessica Biren Caverly, PHD · Psychologist · 203-885-0500
Provider Enumeration Date
March 4, 2013
Last Update Date
September 21, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
828 Federal RD
2ND Floor
Brookfield, CT 06804-1830
Zip
06804-1830
Phone Number
203-885-0500
Fax Number
203-702-5345
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
828 Federal RD
2ND Floor
Brookfield, CT 06804-1830
City
Brookfield
State
CT
Zip
06804-1830
Phone Number
203-885-0500
Fax Number
203-702-5345

License Information

License Number (1)
3248
License State (1)
CT
Taxonomy (1)
Clinical Neuropsychologist · 103G00000X
License Number (2)
3248
License State (2)
CT
License Number (3)
3248
License State (3)
CT
Taxonomy (3)
Psychologist, Forensic · 103TF0200X
License Number (4)
3248
License State (4)
CT
Taxonomy (4)
Psychologist, Health · 103TH0004X
License Number (5)
3248
License State (5)
CT
Taxonomy (6)
Counselor · 101Y00000X
Taxonomy (7)
Counselor, Mental Health · 101YM0800X
Taxonomy (8)
Social Worker · 104100000X
Taxonomy (9)
Social Worker, Clinical · 1041C0700X
License Number (10)
3248
License State (10)
CT
Taxonomy (10)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Western Connecticut Behavioral Health?

The NPI number of Western Connecticut Behavioral Health is 1144561051. It was assigned on March 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Western Connecticut Behavioral Health?

Western Connecticut Behavioral Health is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 3248.

Where does Western Connecticut Behavioral Health practice?

The practice location is 828 Federal RD, 2ND Floor, Brookfield, CT 06804-1830. The office can be reached at 203-885-0500 (phone) or 203-702-5345 (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 1144561051 directly on the NPPES registry website.

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