Active NPIIndividual provider

Clifford Ives

Counselor, Addiction (Substance Use Disorder) in Bridgeport, Connecticut

NPI Number1720299746
Practice location
1046 Fairfield Ave, Bridgeport, CT 06605-1116
Fax
203-331-4716
Last updated
July 8, 2007

Clifford Ives is a Counselor, Addiction (Substance Use Disorder) based in Bridgeport, CT. Clifford Ives practices in Bridgeport, CT. The NPI Number for Clifford Ives is 1720299746 and holds a License No. 10ya0400x (CT). The current practice location address for Clifford Ives is 1046 Fairfield Ave, Bridgeport, CT 06605-1116 and can be reached out via phone at 203-330-6054 and via fax at 203-331-4716.

Provider Profile Details

NPI Number
1720299746
Provider Name
Clifford Ives
Provider Entity Type
Individual
Gender
Male
Address
1046 Fairfield Ave, Bridgeport, CT 06605-1116
Phone Number
203-330-6054
Fax Number
203-331-4716
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Other Names
-- Clifford Ives (Other Name)
Provider Enumeration Date
May 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1046 Fairfield Ave
Bridgeport, CT 06605-1116
Zip
06605-1116
Phone Number
203-330-6054
Fax Number
203-331-4716
Bridgeport, CT 06605Get directions →

Provider Business Mailing Address Details

Address
1046 Fairfield Ave
Bridgeport, CT 06605-1116
City
Bridgeport
State
CT
Zip
06605-1116
Phone Number
203-330-6054
Fax Number
203-331-4716

License Information

License Number
10ya0400x
License State
CT
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Clifford Ives?

The NPI number of Clifford Ives is 1720299746. It was assigned on May 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Clifford Ives?

Clifford Ives is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in CT under license number 10ya0400x.

Where does Clifford Ives practice?

The practice location is 1046 Fairfield Ave, Bridgeport, CT 06605-1116. The office can be reached at 203-330-6054 (phone) or 203-331-4716 (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 1720299746 directly on the NPPES registry website.

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