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CONNECTICUT RENAISSANCE, INC.
NPI 1720130362
Clinic/Center - Rehabilitation, Substance Use Disorder in Bridgeport, CT

Active since January 16, 2007
1126 MAIN ST, BRIDGEPORT, CT 06604(203) 368-9755(203) 368-9760 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Connecticut Renaissance, Inc. NPPES

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

CONNECTICUT RENAISSANCE, INC. (NPI 1720130362) is a healthcare organization registered as a rehabilitation, substance use disorder in Bridgeport, Connecticut and active in the NPI registry since January 2007. The organization lists Dawn E Patston, Coo, as its authorized official.

NPPES Registry Identity

NPI1720130362
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCONNECTICUT RENAISSANCE, INC.
Location Address1126 MAIN STBridgeport, CT 06604-4404
Mailing Address1 Waterview Dr Ste 202Shelton, CT 06484-4368 · (203) 336-5225 · Fax (203) 336-2851
Phone(203) 368-9755
Fax(203) 368-9760
Organization SubpartNo
Authorized OfficialDawn E PatstonCoo · (203) 336-5225
Enumeration DateJanuary 16, 2007
Last NPPES UpdateDecember 2, 2022
NPPES CertifiedDecember 2, 2022
✔ NPI 1720130362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in CT · 0350
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 0412 (CT)
1126 MAIN ST, Bridgeport, CT 06604
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Other Identifiers 1

Medicaid008002559CT

Other Providers at the Same Location NPPES 2

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

CONNECTICUT RENAISSANCE, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
1126 MAIN ST
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 333-2040
YEVGENIA KOCHIAN LPC
Counselor (Professional)
1126 MAIN ST
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 331-1503

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 Renaissance, Inc.'s NPI number?

The NPI number for Connecticut Renaissance, Inc. is 1720130362. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Connecticut Renaissance, Inc. located?

Connecticut Renaissance, Inc. is located at 1126 Main St, Bridgeport, CT 06604. The listed phone number is (203) 368-9755.

What is Connecticut Renaissance, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Connecticut Renaissance, Inc. was last updated on December 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.