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SOUTHEASTERN MENTAL HEALTH AUTHORITY
NPI 1902831548
Clinic/Center - Adult Mental Health in Norwich, CT

Active since July 12, 2006CLIA 07D1022699 · Waiver
401 WEST THAMES STREET, BUILDING 301, NORWICH, CT 06360(860) 859-4674(860) 859-4790 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Mental Health Authority NPPES

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

SOUTHEASTERN MENTAL HEALTH AUTHORITY (NPI 1902831548) is a healthcare organization registered as an adult mental health in Norwich, Connecticut and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Stephen A Dipietro, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1902831548
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSTATE OF CONNECTICUT
Location Address401 WEST THAMES STREET, BUILDING 301Norwich, CT 06360
Mailing Address401 West Thames Street, Building 301Norwich, CT 06360 · (860) 859-4674 · Fax (860) 859-4790
Phone(860) 859-4674
Fax(860) 859-4790
Organization SubpartNo
Authorized OfficialStephen A DipietroChief Financial Officer · (860) 418-6923
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 16, 2016
✔ NPI 1902831548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
401 WEST THAMES STREET, Norwich, CT 06360
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Other Names 1

Doing Business AsSoutheastern Mental Health Authority

Other Identifiers 3

Medicare ID-Type UnspecifiedC02783CT · First Coast Medicare
Medicaid004120200CT
Medicaid004220307CT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D1022699

Southeastern Mental Health Authority · Norwich, CT
Active · expires Feb 23, 2028
CLIA Number07D1022699
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorMonique Miley
Laboratory Phone(860) 859-4500
Laboratory LocationSoutheastern Mental Health Authority401 West Thames Street Bldg 301, Norwich, CT 06360
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

MS. GLORIA J CAMERON MSW LCSW
Social Worker (Clinical)
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-4674
MRS. LINDA CATHERINE PARTRIDGE LCSW
Social Worker (Clinical)
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-4874
MR. PATRICK WILLIAM DOLAN LCSW
Social Worker (Clinical)
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-4674
DR. JOSEPH PATRICK LANG PHD
Psychologist
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-4674
MRS. ELIZABETH ANNE DOMINGUEZ LCSW
Social Worker (Clinical)
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-4674
MRS. SANDRA FORTIER PHILIPS LCSW
Social Worker (Clinical)
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY BLDG 301
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-4674
MS. RHONDA J LABUA LCSW
Social Worker (Clinical)
401 WEST THAMES STREET, BLD - 301
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-4790
MS. JANET CHAPMAN ROSELLE LCSW
Social Worker (Clinical)
401 WEST THAMES STREET, SOUTHEASTERN MENTAL HEALTH AUTHORITY
NORWICH, CT 06360
Southeastern Connecticut Planning Region (860) 859-4674

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 State Of Connecticut's NPI number?

The NPI number for State Of Connecticut is 1902831548. It was assigned to this organization in the NPPES registry on July 12, 2006. The provider is doing business as Southeastern Mental Health Authority.

Where is State Of Connecticut located?

State Of Connecticut is located at 401 West Thames Street Building 301, Norwich, CT 06360. The listed phone number is (860) 859-4674.

What is State Of Connecticut's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does State Of Connecticut hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D1022699) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of Connecticut was last updated on March 16, 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.