CONNECTICUT RENAISSANCE, INC.
NPI 1740297845
Clinic/Center - Rehabilitation, Substance Use Disorder in Bridgeport, CT

Active since August 02, 2006
1120 MAIN ST, BRIDGEPORT, CT 06604(203) 367-6827(203) 367-7576 Get Directions Write a Review

NPPES record last updated: June 9, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Connecticut Renaissance, Inc. NPPES

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

CONNECTICUT RENAISSANCE, INC. (NPI 1740297845) is a healthcare organization registered as a rehabilitation, substance use disorder in Bridgeport, Connecticut and active in the NPI registry since August 2006. The organization lists Patrick Mcauliffe, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740297845
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCONNECTICUT RENAISSANCE, INC.
Location Address1120 MAIN STBridgeport, CT 06604-4404
Mailing Address350 Fairfield Ave, Suite 701Bridgeport, CT 06604-6014 · (203) 336-5225 · Fax (203) 336-2851
Fax(203) 367-7576
Organization SubpartNo
Authorized OfficialPatrick McauliffeCeo · (203) 336-5225
Enumeration DateAugust 2, 2006
Last NPPES UpdateJune 9, 2015
✔ NPI 1740297845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
License✔ Licensed in CT · 0332
1120 MAIN ST, Bridgeport, CT 06604

Other Identifiers 2

Medicaid004228575CT
Medicare ID-Type UnspecifiedC02349CT

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 Renaissance, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Connecticut Renaissance, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Marriage and Family Therapist
NPI 1508137381
1120 MAIN ST
Bridgeport, CT 06604
(203) 333-2040
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1497223887
475 CLINTON AVE
Bridgeport, CT 06605
(203) 368-4291
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1952050981
59 PACIFIC ST
Bridgeport, CT 06604
(203) 383-9258
✔ PECOS1.2 mi
Nurse Practitioner
NPI 1649521352
57 PLAINS RD SUITE 1 A UNIT 2
Milford, CT 06461
(203) 465-6537
✔ PECOS6.7 mi
Psychiatry
NPI 1033232228
27 DANBURY RD
Wilton, CT 06897
(203) 210-7820
✔ PECOS✔ Accepts Medicare12 mi
Clinical Social Worker
NPI 1568094894
1 MCKAYLA DR
New Milford, CT 06776
(860) 960-4470
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1730829391
70 CENTRAL AVE
Waterbury, CT 06702
(203) 346-1931
✔ PECOS27 mi

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 Connecticut Renaissance, Inc.'s NPI number?

The NPI number for Connecticut Renaissance, Inc. is 1740297845. It was assigned to this organization in the NPPES registry on August 2, 2006.

Where is Connecticut Renaissance, Inc. located?

Connecticut Renaissance, Inc. is located at 1120 Main St, Bridgeport, CT 06604. The listed phone number is (203) 367-6827.

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.

Is Connecticut Renaissance, Inc. enrolled in Medicare?

Yes. Connecticut Renaissance, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connecticut Renaissance, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Connecticut Renaissance, 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 Clinical Social Worker (3), Nurse Practitioner (2) and Marriage and Family Therapist (1). Of these, 1 practice at this address and 4 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 Connecticut Renaissance, Inc. was last updated on June 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.