Intraspectus, LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in New Haven, Connecticut
1942274618- Practice location
- 93 Lyon St, New Haven, CT 06511-4925
- Phone
- 203-676-0880
- Fax
- —
- Last updated
- August 22, 2020
Intraspectus, LLC is a healthcare organization based in New Haven, CT. Intraspectus, LLC practices in New Haven, CT. The NPI Number for Intraspectus, LLC is 1942274618 and holds a License No. 005553 (CT). The current practice location address for Intraspectus, LLC is 93 Lyon St, New Haven, CT 06511-4925 and can be reached out via phone at 203-676-0880.
Provider Profile Details
- NPI Number
- 1942274618
- Provider Name
- Intraspectus, LLC
- Provider Entity Type
- Organization
- Address
- 93 Lyon St, New Haven, CT 06511-4925
- Phone Number
- 203-676-0880
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Mr. Jeffrey Paul Kerekes, MSSW, LCSW · Managing Member · 203-676-0880
- Provider Enumeration Date
- February 17, 2006
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 93 Lyon St
New Haven, CT 06511-4925 - City
- New Haven
- State
- Connecticut
- Zip
- 06511-4925
- Phone Number
- 203-676-0880
Provider Business Mailing Address Details
- Address
- 93 Lyon St
New Haven, CT 06511-4925 - City
- New Haven
- State
- CT
- Zip
- 06511-4925
- Phone Number
- 203-676-0880
License Information
- License Number
- 005553
- 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 Intraspectus, LLC?
The NPI number of Intraspectus, LLC is 1942274618. It was assigned on February 17, 2006 and is currently active in the NPPES registry.
What is the specialty of Intraspectus, LLC?
Intraspectus, LLC is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X), licensed in CT under license number 005553.
Where does Intraspectus, LLC practice?
The practice location is 93 Lyon St, New Haven, CT 06511-4925. The office can be reached at 203-676-0880 (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 1942274618 directly on the NPPES registry website.