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FAIR HAVEN COMMUNITY HEALTH CLINIC, INC
NPI 1447767934
Clinic/Center - Federally Qualified Health Center (FQHC) in Branford, CT

Active since January 05, 2018
14 SYCAMORE WAY, BRANFORD, CT 06405(203) 777-7411(203) 777-8506 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1447767934
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAIR HAVEN COMMUNITY HEALTH CLINIC, INC
Location Address14 SYCAMORE WAYBranford, CT 06405-6551
Mailing Address374 Grand AveNew Haven, CT 06513-3733 · (203) 752-5248 · Fax (203) 786-3004
Phone(203) 777-7411
Fax(203) 777-8506
Organization SubpartYes
Authorized OfficialYolymar HerreraCredentialing Coordinator · (203) 777-7411
Enumeration DateJanuary 5, 2018
✔ NPI 1447767934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CT · 0901
14 SYCAMORE WAY, Branford, CT 06405
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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.

IAN KOVAC LPC, LMHC, MT-BC
Counselor (Mental Health)
14 SYCAMORE WAY
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-2630
ROBERT P SHEEDY LADC
Counselor (Addiction (Substance Use Disorder))
14 SYCAMORE WAY
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-2645
MR. RICHARD B TICOTSKY MSW
Social Worker (Clinical)
14 SYCAMORE WAY
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-2630
HARBOR HEALTH SERVICES, INC.
Counselor (Addiction (Substance Use Disorder))
14 SYCAMORE WAY
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-2630
KERRY A. HAYNES
Counselor (Mental Health)
14 SYCAMORE WAY
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-2630
MISS KAREN A ZEIGHER LCSW
Social Worker (Clinical)
14 SYCAMORE WAY
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-2630
MR. ANTHONY CORNIELLO LCSW
Social Worker (Clinical)
14 SYCAMORE WAY
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-2630
LISA RAND
Counselor (Mental Health)
14 SYCAMORE WAY
BRANFORD, CT 06405
South Central Connecticut Planning Region (203) 483-2635

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.

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.