SOUTHEASTERN MENTAL HEALTH AUTHORITY
NPI 1902831548
Clinic/Center - Adult Mental Health in Norwich, CT
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
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeastern Mental Health Authority is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
56Medicare enrollment records show 56 clinicians reassign Medicare billing to Southeastern Mental Health Authority, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 24 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 56Norwich, CT 06360
Norwich, CT 06360
Norwich, CT 06360
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CTFrequently 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.
Is State Of Connecticut enrolled in Medicare?
Yes. State Of Connecticut is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State Of Connecticut?
According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 5 Medicare specialties reassign their Medicare billing to State Of Connecticut. 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 Clinical Social Worker (41), Nurse Practitioner (8) and Psychiatry (4). Of these, 8 practice at this address and 24 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Southeastern Mental Health Authority · NPI 1902831548
Adult Mental Health organization in Norwich, Connecticut. Organization record, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1902831548 (Entity type: Organization)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Legal business name:** State Of Connecticut
- **Organization subpart:** No
- **Authorized official:** Stephen Dipietro, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 401 WEST THAMES STREET, BUILDING 301, Norwich, CT 06360
- **Phone:** (860) 859-4674 · **Fax:** (860) 859-4790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 56 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (41), Nurse Practitioner (8), Psychiatry (4); 8 practice at this address and 24 within 10 miles; [full list](https://npiprofile.com/npi/1902831548/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 16, 2016
- **Other identifiers:** Medicare ID-Type Unspecified C02783 (CT); Medicaid 004120200 (CT); Medicaid 004220307 (CT)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902831548) · Data from the CMS NPPES public registry.