| Rsd | |
|
54 E Ramsdell St New Haven CT 06515-1140 | |
| (203) 337-9943 | |
| (203) 337-9986 |
| Full Name | Rsd |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 54 E Ramsdell St, New Haven, Connecticut |
| Authorized Official Name and Position | Lynn M Madden (PRESIDENT/CEO) |
| Authorized Official Contact | 2037814600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rsd 1 Long Wharf Dr Ste 321 New Haven CT 06511-5991 Ph: (203) 781-4600 | Rsd 54 E Ramsdell St New Haven CT 06515-1140 Ph: (203) 337-9943 |
| NPI Number | 1619288610 |
|---|---|
| Provider Enumeration Date | 06/24/2010 |
| Last Update Date | 07/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619288610 | NPI | - | NPPES |
| 008037391 | Other | CT | SHACKELL MEDICAID |
| 008070148 | Other | CT | BURGDORFER MEDICAID |
| 001302497 | Other | CT | SHI MEDICAID |
| 008058232 | Other | CT | ANDERSON MEDICAID |
| 001423136 | Other | CT | TETRAULT MEDICAID |
| 008023170 | Other | CT | WILLIAMS MEDICAID |
| 001340132 | Other | CT | SAVAGE MEDICAID |
| 008023170 | Other | CT | RSD/MEDICAID/MH |
| 008030353 | Other | CT | FELDMAN MEDICAID |
| 008053091 | Other | CT | BUTNER MEDICAID |
| 008038186 | Other | CT | IEAD MEDICAID |
| 008045348 | Other | CT | TAVERNER MEDICAID |
| 008056047 | Other | CT | ROSS MEDICAID |
| 008003745 | Other | CT | DESROSIERS MEDICAID |
| 008069619 | Other | CT | PARISI MEDICAID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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