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BARDWELL BEHAVIORAL, LLC
NPI 1750275434
Counselor - Mental Health in Portland, CT

Active since June 05, 2025
90 APPLETREE LN, PORTLAND, CT 06480(860) 398-9118(860) 740-4485 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bardwell Behavioral, Llc NPPES

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

BARDWELL BEHAVIORAL, LLC (NPI 1750275434) is a healthcare organization registered as a mental health in Portland, Connecticut and active in the NPI registry since June 2025. The organization lists Rebekah Alizah Doweyko, Owner/founder, as its authorized official.

NPPES Registry Identity

NPI1750275434
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBARDWELL BEHAVIORAL, LLC
Location Address90 APPLETREE LNPortland, CT 06480-1072
Mailing Address5 Progress DrCromwell, CT 06416-1035
Phone(860) 398-9118
Fax(860) 740-4485
Organization SubpartYes
Authorized OfficialRebekah Alizah DoweykoOwner/founder · (561) 504-4373
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1750275434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
90 APPLETREE LN, Portland, CT 06480
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Other Identifiers 2

Medicaid008111142CT
Medicaid6713839VT

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

Other Providers at the Same Location NPPES

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

MICAELA MELLOW LPCA
Counselor (Mental Health)
90 APPLETREE LN
PORTLAND, CT 06480
Lower Connecticut River Valley Planning Region (860) 294-4953

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 Bardwell Behavioral, LLC's NPI number?

The NPI number for Bardwell Behavioral, LLC is 1750275434. It was assigned to this organization in the NPPES registry on June 5, 2025.

Where is Bardwell Behavioral, LLC located?

Bardwell Behavioral, LLC is located at 90 Appletree Ln, Portland, CT 06480. The listed phone number is (860) 398-9118.

What is Bardwell Behavioral, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Bardwell Behavioral, LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.