CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
NPI 1780108399
Clinic/Center - Adolescent and Children Mental Health in New London, CT

Q: What is Child And Family Agency Of Southeastern Connecticut, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Active since July 26, 2017

490 JEFFERSON AVE, NEW LONDON, CT 06320(860) 437-6400(860) 701-3771 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2019, Apr 16, 2019, Jul 26, 2017 (3 updates tracked since 2017).

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About Child And Family Agency Of Southeastern Connecticut, Inc. NPPES

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

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI 1780108399) is a healthcare organization registered as an adolescent and children mental health in New London, Connecticut and active in the NPI registry since July 2017. The organization lists Lisa Baxter, Chief Financial And Admin Officer, as its authorized official.

NPPES Registry Identity

NPI1780108399

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameCHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.

Location Address490 JEFFERSON AVENew London, CT 06320-2525

Mailing Address255 Hempstead StNew London, CT 06320-6204 · (860) 443-2896 · Fax (860) 443-2896

Phone(860) 437-6400

Fax(860) 701-3771

Organization SubpartNo

Authorized OfficialLisa BaxterChief Financial And Admin Officer · (860) 443-2896

Enumeration DateJuly 26, 2017

Last NPPES UpdateJune 20, 20193 updates tracked since enumeration

✔ NPI 1780108399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

490 JEFFERSON AVE, New London, CT 06320

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Other Identifiers 1

Other0146CT · Dph

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.

NEW LONDON PUBLIC SCHOOLS

Student in an Organized Health Care Education/Training Program

490 JEFFERSON AVE, NEW LONDON HIGH SCHOOL
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 437-6400

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.

Clinic/Center

490 JEFFERSON AVE
NEW LONDON, CT 06320

Southeastern Connecticut Planning Region (860) 437-6400

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 Child And Family Agency Of Southeastern Connecticut, Inc.'s NPI number?

The NPI number for Child And Family Agency Of Southeastern Connecticut, Inc. is 1780108399. It was assigned to this organization in the NPPES registry on July 26, 2017.

Where is Child And Family Agency Of Southeastern Connecticut, Inc. located?

Child And Family Agency Of Southeastern Connecticut, Inc. is located at 490 Jefferson Ave, New London, CT 06320. The listed phone number is (860) 437-6400.

What is Child And Family Agency Of Southeastern Connecticut, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Child And Family Agency Of Southeastern Connecticut, Inc. was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.