FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
NPI 1447767934
Clinic/Center - Federally Qualified Health Center (FQHC) in Branford, CT
About Fair Haven Community Health Clinic, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIR HAVEN COMMUNITY HEALTH CLINIC, INC (NPI 1447767934) is a healthcare organization registered as a federally qualified health center (fqhc) in Branford, Connecticut and active in the NPI registry since January 2018. The organization lists Yolymar Herrera, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fair Haven Community Health Clinic, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
73Medicare enrollment records show 73 clinicians reassign Medicare billing to Fair Haven Community Health Clinic, Inc, which bills Medicare for the services they deliver. Of these, 49 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 73Branford, CT 06405
New Haven, CT 06513
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Fair Haven Community Health Clinic, Inc's NPI number?
The NPI number for Fair Haven Community Health Clinic, Inc is 1447767934. It was assigned to this organization in the NPPES registry on January 5, 2018.
Where is Fair Haven Community Health Clinic, Inc located?
Fair Haven Community Health Clinic, Inc is located at 14 Sycamore Way, Branford, CT 06405. The listed phone number is (203) 777-7411.
What is Fair Haven Community Health Clinic, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Fair Haven Community Health Clinic, Inc enrolled in Medicare?
Yes. Fair Haven Community Health Clinic, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fair Haven Community Health Clinic, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 73 clinicians in 17 Medicare specialties reassign their Medicare billing to Fair Haven Community Health Clinic, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Clinical Social Worker (10) and Mental Health Counselor (10). Of these, 49 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fair Haven Community Health Clinic, Inc was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Fair Haven Community Health Clinic, Inc · NPI 1447767934
Federally Qualified Health Center (FQHC) organization in Branford, Connecticut. Organization record, active in the CMS NPPES registry since January 5, 2018.
## Identity
- **NPI:** 1447767934 (Entity type: Organization)
- **Enumerated:** January 5, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** Yes (part of Fair Haven Community Health Clinic, Inc)
- **Authorized official:** Yolymar Herrera, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 14 SYCAMORE WAY, Branford, CT 06405-6551
- **Phone:** (203) 777-7411 · **Fax:** (203) 777-8506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 73 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (20), Clinical Social Worker (10), Mental Health Counselor (10); 49 practice within 10 miles; [full list](https://npiprofile.com/npi/1447767934/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1447767934) · Data from the CMS NPPES public registry.