FAIR HAVEN COMMUNITY HEALTH CENTER
NPI 1871770768
Clinic/Center - Federally Qualified Health Center (FQHC) in New Haven, CT

Active since January 23, 2008
339 EASTERN ST, NEW HAVEN, CT 06513(203) 777-7411(203) 777-8506 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 11, 2016, Dec 11, 2015 (2 updates tracked since 2015).

About Fair Haven Community Health Center NPPES

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

FAIR HAVEN COMMUNITY HEALTH CENTER (NPI 1871770768) is a healthcare organization registered as a federally qualified health center (fqhc) in New Haven, Connecticut and active in the NPI registry since January 2008. The organization lists Suzanne P Lagarde, Ceo, as its authorized official.

NPPES Registry Identity

NPI1871770768
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameFAIR HAVEN COMMUNITY HEALTH CLINIC INC.
Location Address339 EASTERN STNew Haven, CT 06513-2463
Mailing Address374 Grand AveNew Haven, CT 06513-3733 · (203) 777-7411 · Fax (203) 777-8506
Fax(203) 777-8506
Organization SubpartNo
Authorized OfficialSuzanne P LagardeCeo · (203) 752-5129
Enumeration DateJanuary 23, 2008
Last NPPES UpdateFebruary 11, 20162 updates tracked since enumeration
✔ NPI 1871770768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CT · 0009
Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 0722 (CT)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 0533 (CT)
339 EASTERN ST, New Haven, CT 06513

Other Names 1

Doing Business AsFair Haven Community Health Center

Other Identifiers 4

Medicaid004235736CT
Medicare OSCAR/certificationC00591CT
Medicare OSCAR/certification071817CT
Medicare PIN07-1805CT

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fair Haven Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

73

Medicare enrollment records show 73 clinicians reassign Medicare billing to Fair Haven Community Health Center, which bills Medicare for the services they deliver. Of these, 54 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner20
Clinical Social Worker10
Mental Health Counselor10
Internal Medicine7
Certified Nurse Midwife (CNM)6
Pediatric Medicine5
Family Practice4
Psychiatry2
9 other specialties9

Nearest to this location (20)

See all 73
Mental Health Counselor
NPI 1689266025
986 QUINNIPIAC AVE UNIT 6
New Haven, CT 06513
(203) 285-7846
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1730713512
50 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS1.0 mi
Podiatry
NPI 1528224755
50 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare1.0 mi
Certified Nurse Midwife (CNM)
NPI 1235928565
50 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare1.1 mi
Clinical Social Worker
NPI 1891298253
64 THOMPSON ST
East Haven, CT 06513
(203) 691-1685
✔ PECOS1.3 mi
Psychiatry
NPI 1639248404
1435 STATE ST
New Haven, CT 06511
(203) 787-2727
✔ PECOS✔ Accepts Medicare1.4 mi
Family Practice
NPI 1629065008
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1831642438
374 GRAND AVE
New Haven, CT 06513
(206) 512-6556
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1871269373
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS1.7 mi
Internal Medicine
NPI 1972788792
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare1.7 mi
Mental Health Counselor
NPI 1518629419
374 GRAND AVE
New Haven, CT 06513
(203) 752-5203
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1295702181
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare1.7 mi
Psychiatry
NPI 1346226222
374 GRAND AVE FAIR HAVEN COMMUNITY HEALTH CENTER
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare1.7 mi
Certified Nurse Midwife (CNM)
NPI 1184024580
374 GRAND AVE
New Haven, CT 06513
(203) 752-5248
✔ PECOS✔ Accepts Medicare1.7 mi
Pediatric Medicine
NPI 1356445415
374 GRAND AVE FAIR HAVEN COMMUNITY HEALTH CTR
New Haven, CT 06513
(203) 777-7411
✔ PECOS1.7 mi
Clinical Social Worker
NPI 1295360469
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare1.7 mi
Family Practice
NPI 1083078695
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS✔ Accepts Medicare1.7 mi
Gastroenterology
NPI 1114068848
374 GRAND AVE
New Haven, CT 06513
(203) 777-7411
✔ PECOS1.7 mi
Marriage and Family Therapist
NPI 1114272101
93 EDWARDS ST
New Haven, CT 06511
(203) 772-1270
✔ PECOS✔ Accepts Medicare2.1 mi
Dermatology
NPI 1497104822
15 YORK STREET LMP 5040
New Haven, CT 06510
(203) 785-4632
✔ PECOS✔ Accepts Medicare3.4 mi
See all 73 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fair Haven Community Health Clinic Inc.'s NPI number?

The NPI number for Fair Haven Community Health Clinic Inc. is 1871770768. It was assigned to this organization in the NPPES registry on January 23, 2008. The provider is doing business as Fair Haven Community Health Center.

Where is Fair Haven Community Health Clinic Inc. located?

Fair Haven Community Health Clinic Inc. is located at 339 Eastern St, New Haven, CT 06513. The listed phone number is (203) 777-7411.

What is Fair Haven Community Health Clinic Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Fair Haven Community Health Clinic Inc. enrolled in Medicare?

Yes. Fair Haven Community Health Clinic Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fair Haven Community Health Clinic Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 73 clinicians in 17 Medicare specialties reassign their Medicare billing to Fair Haven Community Health Clinic Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (20), Clinical Social Worker (10) and Mental Health Counselor (10). Of these, 54 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fair Haven Community Health Clinic Inc. was last updated on February 11, 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.