Child And Family Agency Of Southeastern Connecticut, Inc. - Medicare Mental Health Clinic in New London, CT

Child And Family Agency Of Southeastern Connecticut, Inc. is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in New London, Connecticut. The current practice location for Child And Family Agency Of Southeastern Connecticut, Inc. is 7 Vauxhall St, New London, Connecticut. For appointments, you can reach them via phone at (860) 442-2797. The mailing address for Child And Family Agency Of Southeastern Connecticut, Inc. is 255 Hempstead St, New London, Connecticut and phone number is (860) 443-2896.

Child And Family Agency Of Southeastern Connecticut, Inc. is licensed to practice in Connecticut (license number 0586). The clinic also participates in the medicare program and its NPI number is 1215393327. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (860) 442-2797.

Contact Information

Child And Family Agency Of Southeastern Connecticut, Inc.
7 Vauxhall St
New London
CT 06320-5711
(860) 442-2797
(860) 701-3776

Map and Direction


Mental Health Clinic Profile

Full NameChild And Family Agency Of Southeastern Connecticut, Inc.
SpecialityClinic/Center
Location7 Vauxhall St, New London, Connecticut
Authorized Official Name and PositionLisa Baxter (CHIEF FINANCIAL AND ADMIN OFFICER)
Authorized Official Contact8604432896
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Child And Family Agency Of Southeastern Connecticut, Inc.
255 Hempstead St
New London
CT 06320-6204

Ph: (860) 443-2896
Child And Family Agency Of Southeastern Connecticut, Inc.
7 Vauxhall St
New London
CT 06320-5711

Ph: (860) 442-2797

NPI Details:

NPI Number1215393327
Provider Enumeration Date01/05/2016
Last Update Date06/20/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2163756982
Medicare Enrollment IDO20190628000228

Medical Identifiers

Medical identifiers for Child And Family Agency Of Southeastern Connecticut, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215393327NPI-NPPES
008062936MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 0586 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Child And Family Agency Of Southeastern Connecticut, Inc. acts as a billing entity for following providers:
Provider NameAllana R Lee
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053503904
PECOS PAC ID: 2961549498
Enrollment ID: I20091102000292
Provider NameAmit Rathi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972704245
PECOS PAC ID: 7517145279
Enrollment ID: I20110628000340
Provider NameDanielle R Morgan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922004290
PECOS PAC ID: 9335129469
Enrollment ID: I20161213000016
Provider NameKerry Litke
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215230677
PECOS PAC ID: 3476887290
Enrollment ID: I20190628000462
Provider NameTheresa M Ramponi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962977652
PECOS PAC ID: 4082948807
Enrollment ID: I20190628000602
Provider NameShaune Christopher Martin
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992281950
PECOS PAC ID: 5294147013
Enrollment ID: I20201218000762
Provider NameSarah M Fedorchuck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598284879
PECOS PAC ID: 2466868674
Enrollment ID: I20210315000871
Provider NamePatricia Elliott
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1790359222
PECOS PAC ID: 2769881556
Enrollment ID: I20210527001465
Provider NameMaegan Renshaw
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497145924
PECOS PAC ID: 6204220502
Enrollment ID: I20220302002961
Provider NameJennifer Tara Cohen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1225507767
PECOS PAC ID: 1456737618
Enrollment ID: I20220926003455
Provider NameJennette Miller
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780995563
PECOS PAC ID: 6608243811
Enrollment ID: I20221101001056
Provider NameAlyssa Ackerson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1083182778
PECOS PAC ID: 4981072311
Enrollment ID: I20221116001376
Provider NameJeannine Cleaver
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336591924
PECOS PAC ID: 7517396781
Enrollment ID: I20221210000472
Provider NameCathiann Velez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1518523141
PECOS PAC ID: 6709257033
Enrollment ID: I20230125001316
Provider NameClaudia A Carmona Botero
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285123554
PECOS PAC ID: 7416312749
Enrollment ID: I20230420001428
Provider NameAngela Aguilar
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811656507
PECOS PAC ID: 0840655189
Enrollment ID: I20230420001613
Provider NameGeralyn Jones
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861167801
PECOS PAC ID: 6800253048
Enrollment ID: I20230605000618
Provider NamePatricia Hennessy
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1407449788
PECOS PAC ID: 8921451311
Enrollment ID: I20240201002781
Provider NameNicole Smith
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1639701667
PECOS PAC ID: 5092158683
Enrollment ID: I20240212000503
Provider NameKlaritza Guadalupe Armenta
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1326449455
PECOS PAC ID: 3971946393
Enrollment ID: I20240213000872
Provider NameMikayla E Bozym
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1831558550
PECOS PAC ID: 8022452481
Enrollment ID: I20240214001086
Provider NameBrittany Sanchez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1205240215
PECOS PAC ID: 2860834884
Enrollment ID: I20240522002801
Provider NameTammy F. Bogue
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1912191727
PECOS PAC ID: 0749622579
Enrollment ID: I20240524002447

Reviews and Comments

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Child And Family Agency Of Southeastern Connecticut, Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 7 Vauxhall St, New London, CT 06320
Phone: 860-437-4550    
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Phone: 860-857-4114    
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Medicare: Medicare Enrolled
Practice Location: 164 Hempstead St, New London, CT 06320
Phone: 860-910-4881    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.