Intercommunity Mental Health Group
Clinic/Center, Mental Health (Including Community Mental Health Center) in Wethersfield, Connecticut
1245430891- Practice location
- 505 Silas Deane Hwy, Wethersfield, CT 06109-2216
- Phone
- 860-569-5900
- Fax
- —
- Last updated
- April 20, 2008
Intercommunity Mental Health Group is a healthcare organization based in Wethersfield, CT. Intercommunity Mental Health Group practices in Wethersfield, CT. The NPI Number for Intercommunity Mental Health Group is 1245430891 and holds a License No. C-0109 (CT). The current practice location address for Intercommunity Mental Health Group is 505 Silas Deane Hwy, Wethersfield, CT 06109-2216 and can be reached out via phone at 860-569-5900.
Provider Profile Details
- NPI Number
- 1245430891
- Provider Name
- Intercommunity Mental Health Group
- Provider Entity Type
- Organization
- Address
- 505 Silas Deane Hwy, Wethersfield, CT 06109-2216
- Phone Number
- 860-569-5900
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mr. Marshall Gaines, MBA, CPA · Vice President Of Administration · 860-895-2308
- Provider Enumeration Date
- July 23, 2007
- Last Update Date
- April 20, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 505 Silas Deane Hwy
Wethersfield, CT 06109-2216 - City
- Wethersfield
- State
- Connecticut
- Zip
- 06109-2216
- Phone Number
- 860-569-5900
Provider Business Mailing Address Details
- Address
- 281 Main St
East Hartford, CT 06118-1823 - City
- East Hartford
- State
- CT
- Zip
- 06118-1823
- Phone Number
- 860-569-5900
License Information
- License Number
- C-0109
- License State
- CT
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · 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 Intercommunity Mental Health Group?
The NPI number of Intercommunity Mental Health Group is 1245430891. It was assigned on July 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Intercommunity Mental Health Group?
Intercommunity Mental Health Group is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in CT under license number C-0109.
Where does Intercommunity Mental Health Group practice?
The practice location is 505 Silas Deane Hwy, Wethersfield, CT 06109-2216. The office can be reached at 860-569-5900 (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 1245430891 directly on the NPPES registry website.