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CONNECTICUT ADDICTION MEDICINE
NPI 1710312368
Psychiatry & Neurology - Addiction Psychiatry in Rocky Hill, CT

Active since September 13, 2013CLIA 07D2103841 · Certificate of Compliance
546 CROMWELL AVE, SUITE 101, ROCKY HILL, CT 06067(860) 757-3874(860) 757-3875 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 19, 2017, May 12, 2016 (2 updates tracked since 2016).

About Connecticut Addiction Medicine NPPES

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

CONNECTICUT ADDICTION MEDICINE (NPI 1710312368) is a healthcare organization registered as an addiction psychiatry in Rocky Hill, Connecticut and active in the NPI registry since September 2013. The organization holds a CLIA Certificate of Compliance certificate valid through September 5, 2028 and lists Tiffany Ingold, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1710312368
Entity TypeOrganization
Primary Taxonomy2084P0802X
Legal Business NameCONNECTICUT ADDICTION MEDICINE, LLC
Location Address546 CROMWELL AVE, SUITE 101Rocky Hill, CT 06067-1800
Mailing Address546 Cromwell Ave, Suite 101Rocky Hill, CT 06067-1800 · (860) 757-3874 · Fax (860) 757-3875
Phone(860) 757-3874
Fax(860) 757-3875
Organization SubpartNo
Authorized OfficialTiffany IngoldOffice Manager · (860) 969-1101
Enumeration DateSeptember 13, 2013
Last NPPES UpdateApril 19, 20172 updates tracked since enumeration
✔ NPI 1710312368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyPsychiatry & Neurology · Addiction PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0802X
Definition
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedClinical Medical LaboratoryTaxonomy 291U00000X · License CLPOL0509 (CT)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X
546 CROMWELL AVE, Rocky Hill, CT 06067
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Other Names 1

Doing Business AsConnecticut Addiction Medicine

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Addiction Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Connecticut Addiction Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Mahboob Aslam, MD
Psychiatry
NPI 1801094479
546 CROMWELL AVE SUITE 101
Rocky Hill, CT 06067
(860) 757-3874
✔ PECOS✔ Accepts MedicareSame address
Manju Aggarwal, MD
Addiction Medicine
NPI 1952480840
525 RUSSELL ROAD CEDARCREST HOSPITAL HUMAN RESOURCES
Newington, CT 06111
(860) 666-7621
✔ PECOS4.0 mi
R William Bohonnon, APRN
Nurse Practitioner
NPI 1518500768
330 MAIN ST STE 101
Hartford, CT 06106
(860) 969-1101
✔ PECOS✔ Accepts Medicare7.2 mi
Sobia Shaikh
Nurse Practitioner
NPI 1639053655
91 NORTHWEST DR
Plainville, CT 06062
(888) 793-3500
✔ PECOS✔ Accepts Medicare11 mi
Jeff Epps, LCSW, LADC
Clinical Social Worker
NPI 1982113379
189 EVERGREEN LN
Meriden, CT 06450
(203) 820-1570
✔ PECOS✔ Accepts Medicare12 mi
Mitchelle Williams, APRN
Nurse Practitioner
NPI 1215750906
21 WATERVILLE RD
Avon, CT 06001
(757) 531-5405
✔ PECOS✔ Accepts Medicare13 mi
Mary Patricia Daniels
Clinical Social Worker
NPI 1407254733
501 LOMBARD ST
New Haven, CT 06513
(203) 787-2207
✔ PECOS✔ Accepts Medicare26 mi
Thomas Defanti, MD
Addiction Medicine
NPI 1043239783
75 SWANTOWN HL
North Stonington, CT 06359
(860) 535-1010
✔ PECOS✔ Accepts Medicare41 mi
Tyesha Batchelor, APRN, FNP-BC
Nurse Practitioner
NPI 1881312395
90 CANAL ST FL 4
Boston, MA 02114
(888) 608-0491
✔ PECOS97 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 07D2103841

Connecticut Addiction Medicine · Hartford, CT
Active · expires Sep 5, 2028
CLIA Number07D2103841
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2026
Certificate Expiration DateSeptember 5, 2028
Laboratory DirectorAngela Steinhardt
Laboratory Phone(860) 969-1101
Laboratory LocationConnecticut Addiction Medicine330 Main Street, Hartford, CT 06106
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Connecticut Addiction Medicine, LLC's NPI number?

The NPI number for Connecticut Addiction Medicine, LLC is 1710312368. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Connecticut Addiction Medicine.

Where is Connecticut Addiction Medicine, LLC located?

Connecticut Addiction Medicine, LLC is located at 546 Cromwell Ave Suite 101, Rocky Hill, CT 06067. The listed phone number is (860) 757-3874.

What is Connecticut Addiction Medicine, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Psychiatry, with taxonomy code 2084P0802X.

Is Connecticut Addiction Medicine, LLC enrolled in Medicare?

Yes. Connecticut Addiction Medicine, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Addiction Medicine, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 4 Medicare specialties reassign their Medicare billing to Connecticut Addiction Medicine, LLC. 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 (4), Addiction Medicine (2) and Clinical Social Worker (2). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Connecticut Addiction Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 07D2103841) is associated with this NPI, valid through September 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Connecticut Addiction Medicine, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Connecticut Addiction Medicine, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Connecticut Addiction Medicine, LLC was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.