ABDUL JALIL SHABAZZ MS
NPI 1740633379
Counselor - Professional in Canaan, CT

Active since July 19, 2016
187 S CANAAN RD, CANAAN, CT 06018(860) 824-1397(888) 764-6211 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abdul Jalil Shabazz Ms NPPES

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

ABDUL JALIL SHABAZZ MS (NPI 1740633379) is an individual professional provider in Canaan, Connecticut and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1740633379
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameABDUL JALIL SHABAZZCredential: MS
Location Address187 S CANAAN RDCanaan, CT 06018-2544
Mailing Address75 Rustling Reed RdNaugatuck, CT 06770-3539 · (203) 525-1265
Fax(888) 764-6211
Sole ProprietorYes
Enumeration DateJuly 19, 2016
NPI 1740633379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
187 S CANAAN RD, Canaan, CT 06018

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.

Social Worker (Clinical)
187 S CANAAN RD
CANAAN, CT 06018
Substance Abuse Rehabilitation Facility
187 S CANAAN RD
CANAAN, CT 06018
Counselor (Mental Health)
187 S CANAAN RD
CANAAN, CT 06018
Psychiatry & Neurology (Addiction Psychiatry)
187 S CANAAN RD
CANAAN, CT 06018
Counselor
187 S CANAAN RD
CANAAN, CT 06018
Lodging
187 S CANAAN RD
CANAAN, CT 06018
Counselor (Professional)
187 S CANAAN RD
CANAAN, CT 06018
Substance Abuse Rehabilitation Facility
187 S CANAAN RD
CANAAN, CT 06018

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 Abdul Shabazz's NPI number?

The NPI number for Abdul Shabazz is 1740633379. It was assigned to this individual provider in the NPPES registry on July 19, 2016.

Where is Abdul Shabazz located?

Abdul Shabazz practices at 187 S Canaan Rd, Canaan, CT 06018. The listed phone number is (860) 824-1397.

What is Abdul Shabazz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Abdul Shabazz was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.