CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC.
NPI 1861866139
Psychologist - Clinical Child & Adolescent in Groton, CT

NPI Status: Active since November 24, 2015

Contact Information

495 GOLD STAR HWY STE 224
GROTON, CT
ZIP 06340
Phone: (860) 326-5405
Fax: (860) 326-5571

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  • Organization
  • Psychologist
  • Clinical Child & Adolescent
  • CLIA Number: 07D2023410
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-22-2025

About CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC.

This page provides the complete NPI Profile along with additional information for Connecticut Institute Of Behavioral Health Inc., a provider established in Groton, Connecticut operating as a Psychologist, focusing in clinical child & adolescent . The healthcare provider is registered in the NPI registry with number 1861866139 assigned on November 2015. The practitioner's primary taxonomy code is 103TC2200X with license number 041692 (CT). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Maria Higgins (Office Manager)

NPI
1861866139
Provider Name
CONNECTICUT INSTITUTE OF BEHAVIORAL HEALTH INC.
Entity Type
Organization
Location Address
495 GOLD STAR HWY STE 224 GROTON, CT 06340
Location Phone
(860) 326-5405
Location Fax
(860) 326-5571
Mailing Address
495 GOLD STAR HWY STE 224 GROTON, CT 06340
Mailing Phone
(860) 326-5405
Mailing Fax
(860) 326-5571
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-24-2015
Last Update Date
05-25-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical Child & Adolescent

Taxonomy Code
103TC2200X
Type
Behavioral Health & Social Service Providers
License No.
041692
License State
CT
Taxonomy Description
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARIA HIGGINS

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(860) 326-5405

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D2023410
Facility Type
Physician Office
Certificate Effective Date
November 23, 2023
Certificate Expiration Date
November 22, 2025
Laboratory Director
DR. HONG ZHENG
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Connecticut Institute Of Behavioral Health Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1861866139, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 8 → 16 → 7 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 2 + 1 + 1 + 6 + 6 + 1 + 2 + 1 + 6 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1861866139.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861866139, enumerated as an "organization" on November 24, 2015.

The provider is located at 495 GOLD STAR HWY STE 224 GROTON, CT 06340 and the phone number is (860) 326-5405.

Psychologist with taxonomy code 103TC2200X and a focus in Clinical Child & Adolescent.