CONNECTICUT VIOLENCE INTERVENTION PROGRAM, INC.
NPI 1013631506
Prevention Professional in New Haven, CT

Active since September 28, 2022
230 ASHMUN ST, NEW HAVEN, CT 06511(203) 410-2580 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Connecticut Violence Intervention Program, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNECTICUT VIOLENCE INTERVENTION PROGRAM, INC. (NPI 1013631506) is a healthcare organization registered as a prevention professional in New Haven, Connecticut and active in the NPI registry since September 2022. The organization lists Michaela Fraser Reilly, Marketing, Technology & Research, as its authorized official.

NPPES Registry Identity

NPI1013631506
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameCONNECTICUT VIOLENCE INTERVENTION PROGRAM, INC.
Location Address230 ASHMUN STNew Haven, CT 06511-3574
Mailing Address230 Ashmun StNew Haven, CT 06511-3574
Organization SubpartNo
Authorized OfficialMichaela Fraser ReillyMarketing, Technology & Research · (201) 783-4921
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
NPI 1013631506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
Definition

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

230 ASHMUN ST, New Haven, CT 06511

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Social Worker (Clinical)
230 ASHMUN ST
NEW HAVEN, CT 06511
Social Worker (Clinical)
230 ASHMUN ST, BOX 4
NEW HAVEN, CT 06511
Social Worker (Clinical)
230 ASHMUN ST
NEW HAVEN, CT 06511
Social Worker (Clinical)
230 ASHMUN ST, BOX 4
NEW HAVEN, CT 06511
Counselor
230 ASHMUN ST, BOX # 4
NEW HAVEN, CT 06511
Community/Behavioral Health
230 ASHMUN ST, BOX 4
NEW HAVEN, CT 06511
Community/Behavioral Health
230 ASHMUN ST
NEW HAVEN, CT 06511
Social Worker (Clinical)
230 ASHMUN ST
NEW HAVEN, CT 06511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013631506, enumerated as an "organization" on September 28, 2022.

The provider is located at 230 ASHMUN ST NEW HAVEN, CT 06511 and the phone number is (203) 410-2580.

Prevention Professional with taxonomy code 405300000X.