COMMUNITY CHILD GUIDANCE CLINIC, INC.
NPI 1780730267
Clinic/Center - Adolescent and Children Mental Health in Manchester, CT

Active since January 26, 2007
317 N MAIN ST, MANCHESTER, CT 06042(860) 643-2101(860) 645-1470 Get Directions Write a Review

NPPES record last updated: May 3, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Community Child Guidance Clinic, Inc. NPPES

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

COMMUNITY CHILD GUIDANCE CLINIC, INC. (NPI 1780730267) is a healthcare organization registered as an adolescent and children mental health in Manchester, Connecticut and active in the NPI registry since January 2007. The organization lists Clifford Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1780730267
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameCOMMUNITY CHILD GUIDANCE CLINIC, INC.
Location Address317 N MAIN STManchester, CT 06042-2007
Mailing Address317 N Main StManchester, CT 06042-2007 · (860) 643-2101 · Fax (860) 645-1470
Fax(860) 645-1470
Organization SubpartNo
Authorized OfficialClifford JohnsonExecutive Director · (860) 643-2101
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMay 3, 2013
NPI 1780730267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License Licensed in CT · OPCC-14
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.

Also ListedClinic/CenterTaxonomy 261Q00000X · License 0238 (CT)
317 N MAIN ST, Manchester, CT 06042

Other Identifiers 1

Medicaid004039277CT

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)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Psychologist (Clinical Child & Adolescent)
317 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
317 N MAIN ST
MANCHESTER, CT 06042
Counselor (Mental Health)
317 N MAIN ST
MANCHESTER, CT 06042
Counselor (Professional)
317 N MAIN ST
MANCHESTER, CT 06042
Marriage & Family Therapist
317 N MAIN ST
MANCHESTER, CT 06042

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 Community Child Guidance Clinic, Inc.'s NPI number?

The NPI number for Community Child Guidance Clinic, Inc. is 1780730267. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Community Child Guidance Clinic, Inc. located?

Community Child Guidance Clinic, Inc. is located at 317 N Main St, Manchester, CT 06042. The listed phone number is (860) 643-2101.

What is Community Child Guidance Clinic, 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 Community Child Guidance Clinic, Inc. was last updated on May 3, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.