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PHYSICIAN SERVICES OF NORTHEAST CT, LLC
NPI 1174809966
Clinic/Center in Putnam, CT

Active since October 25, 2011
320 POMFRET ST, PUTNAM, CT 06260(860) 928-6541(860) 963-6450 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Physician Services Of Northeast Ct, Llc NPPES

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

PHYSICIAN SERVICES OF NORTHEAST CT, LLC (NPI 1174809966) is a healthcare organization registered as a clinic/center in Putnam, Connecticut and active in the NPI registry since October 2011. The organization lists Christine L Vallee, Vp Physician Services, as its authorized official.

NPPES Registry Identity

NPI1174809966
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePHYSICIAN SERVICES OF NORTHEAST
Location Address320 POMFRET STPutnam, CT 06260-1836
Mailing AddressPo Box 8469Belfast, ME 04915-8469 · (860) 928-6541 · Fax (860) 963-6450
Phone(860) 928-6541
Fax(860) 963-6450
Organization SubpartNo
Authorized OfficialChristine L ValleeVp Physician Services · (860) 928-6541
Enumeration DateOctober 25, 2011
✔ NPI 1174809966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedMidwifeTaxonomy 176B00000X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
320 POMFRET ST, Putnam, CT 06260
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Other Names 1

Other NamePhysician Services Of Northeast Ct, Llc

Other Identifiers 2

Medicaid008001905CT
Medicare PIND100000012CT

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATCHAUG HOSPITAL
Substance Abuse Rehabilitation Facility
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-6416
DAY KIMBALL HOSPITAL OF WINDHAM COUNTY
Nurse Practitioner
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 928-6541
JENNIFER SALVAS
Counselor (Mental Health)
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-6385
LIVINUS OKAFOR MD
Internal Medicine
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 928-6541
DUC H. LE M.D.
Emergency Medicine
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 928-6541
KIMBERLY J LANE APRN
Nurse Practitioner (Psychiatric/Mental Health)
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 928-6541
MICHELLE LEE LOUCRAFT
Counselor (Mental Health)
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-6385
DAY KIMBALL HEALTHCARE, INC.
Community/Behavioral Health
320 POMFRET ST
PUTNAM, CT 06260
Northeastern Connecticut Planning Region (860) 963-6385

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Physician Services Of Northeast's NPI number?

The NPI number for Physician Services Of Northeast is 1174809966. It was assigned to this organization in the NPPES registry on October 25, 2011. The provider is also known as Physician Services Of Northeast Ct, LLC.

Where is Physician Services Of Northeast located?

Physician Services Of Northeast is located at 320 Pomfret St, Putnam, CT 06260. The listed phone number is (860) 928-6541.

What is Physician Services Of Northeast's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Physician Services Of Northeast was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.