CONNECTICUT BEHAVIORAL HEALTH ASSOC, P.C.
NPI 1629158126
Clinic/Center - Mental Health (Including Community Mental Health Center) in New London, CT
NPI Status: Active since October 17, 2006
Contact Information
41 FAIR HARBOUR PL
NEW LONDON, CT
ZIP 06320
Phone: (860) 437-6914
Fax: (860) 437-6920
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 07D0865176
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 02-27-2026
About CONNECTICUT BEHAVIORAL HEALTH ASSOC, P.C.
This page provides the complete NPI Profile along with additional information for Connecticut Behavioral Health Assoc, P.c., a provider established in New London, Connecticut operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1629158126 assigned on October 2006. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Bassam Awwa Md (Medical Director)
- NPI
- 1629158126
- Provider Name
- CONNECTICUT BEHAVIORAL HEALTH ASSOC, P.C.
- Entity Type
- Organization
- Location Address
- 41 FAIR HARBOUR PL NEW LONDON, CT 06320
- Location Phone
- (860) 437-6914
- Location Fax
- (860) 437-6920
- Mailing Address
- 41 FAIR HARBOUR PL NEW LONDON, CT 06320
- Mailing Phone
- (860) 437-6914
- Mailing Fax
- (860) 437-6920
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-17-2006
- Last Update Date
- 11-16-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 3 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | |
| 4 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 5 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 6 | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 004192324 | MEDICAID (05) | CT | |
| 004255411 | MEDICAID (05) | CT | |
| 008008065 | MEDICAID (05) | CT | |
| C01678 | MEDICARE PIN (08) | CT | |
| 004195774 | MEDICAID (05) | CT | |
| 004199271 | MEDICAID (05) | CT | |
| 004255388 | MEDICAID (05) | CT |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D0865176
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- February 29, 2024
- Certificate Expiration Date
- February 27, 2026
- Laboratory Director
- DEMETRA ELEFTHERIOU
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Connecticut Behavioral Health Assoc, P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for CONNECTICUT BEHAVIORAL HEALTH ASSOC, P.C.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1629158126, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
NEW LONDON, CT 06320
NEW LONDON, CT 06320
NEW LONDON, CT 06320
NEW LONDON, CT 06320
NEW LONDON, CT 06320
NEW LONDON, CT 06320
NEW LONDON, CT 06320
NEW LONDON, CT 06320
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629158126, enumerated as an "organization" on October 17, 2006.
The provider is located at 41 FAIR HARBOUR PL NEW LONDON, CT 06320 and the phone number is (860) 437-6914.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
