Active NPIOrganization

Connecticut Addiction Medicine, LLC

Psychiatry & Neurology, Addiction Psychiatry in Rocky Hill, Connecticut

NPI Number1710312368
Practice location
546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800
Fax
860-757-3875
Last updated
April 19, 2017

Connecticut Addiction Medicine, LLC is a healthcare organization based in Rocky Hill, CT. Connecticut Addiction Medicine, LLC practices in Rocky Hill, CT. The NPI Number for Connecticut Addiction Medicine, LLC is 1710312368 and holds a License No. CLPOL0509 (CT). The current practice location address for Connecticut Addiction Medicine, LLC is 546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800 and can be reached out via phone at 860-757-3874 and via fax at 860-757-3875.

Provider Profile Details

NPI Number
1710312368
Provider Name
Connecticut Addiction Medicine, LLC
Provider Entity Type
Organization
Address
546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800
Phone Number
860-757-3874
Fax Number
860-757-3875
Primary Taxonomy
Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X
Organization Subpart
No
Authorized Official
Tiffany Ingold, OFFICE MANAGER · Office Manager · 860-969-1101
Other Names
Connecticut Addiction Medicine (Doing Business As)
Provider Enumeration Date
September 13, 2013
Last Update Date
April 19, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
546 Cromwell Ave
Suite 101
Rocky Hill, CT 06067-1800
Zip
06067-1800
Phone Number
860-757-3874
Fax Number
860-757-3875
Rocky Hill, CT 06067Get directions →

Provider Business Mailing Address Details

Address
546 Cromwell Ave
Suite 101
Rocky Hill, CT 06067-1800
City
Rocky Hill
State
CT
Zip
06067-1800
Phone Number
860-757-3874
Fax Number
860-757-3875

License Information

Taxonomy (1)
Internal Medicine, Addiction Medicine · 207RA0401X
Taxonomy (2)
Marriage & Family Therapist · 106H00000X
Taxonomy (3)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License State (6)
CT
Taxonomy (6)
Nurse Practitioner, Adult Health · 363LA2200X
Taxonomy (7)
Family Medicine, Addiction Medicine · 207QA0401X
License Number (8)
CLPOL0509
License State (8)
CT
Taxonomy (8)
Clinical Medical Laboratory · 291U00000X
Taxonomy (9)
Psychiatry & Neurology, Addiction Psychiatry · 2084P0802X · 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 Connecticut Addiction Medicine, LLC?

The NPI number of Connecticut Addiction Medicine, LLC is 1710312368. It was assigned on September 13, 2013 and is currently active in the NPPES registry.

What is the specialty of Connecticut Addiction Medicine, LLC?

Connecticut Addiction Medicine, LLC is registered under the primary taxonomy Psychiatry & Neurology, Addiction Psychiatry (code 2084P0802X), licensed in CT under license number CLPOL0509.

Where does Connecticut Addiction Medicine, LLC practice?

The practice location is 546 Cromwell Ave, Suite 101, Rocky Hill, CT 06067-1800. The office can be reached at 860-757-3874 (phone) or 860-757-3875 (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 1710312368 directly on the NPPES registry website.

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