| Adult Psychiatric Clinic | |
|
400 Columbus Avenue Adult Psychiatric Clinic New Haven CT 06519-1233 | |
| (203) 503-3075 | |
| (035) 033-2962 |
| Full Name | Adult Psychiatric Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 400 Columbus Avenue, New Haven, Connecticut |
| Authorized Official Name and Position | Sol Maria Gonzalez (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 2035033174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult Psychiatric Clinic Po Box 7720 Credentialing Speciaist New Haven CT 06519-0720 Ph: (203) 503-3174 | Adult Psychiatric Clinic 400 Columbus Avenue Adult Psychiatric Clinic New Haven CT 06519-1233 Ph: (203) 503-3075 |
| NPI Number | 1336342880 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336342880 | NPI | - | NPPES |
| 004235918 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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