KERITH BROOK CFC
NPI 1932851102
Clinic/Center in Mansfield Center, CT

Active since January 19, 2022
27 PATRIOTS SQ, MANSFIELD CENTER, CT 06250(860) 752-4249 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center

About KERITH BROOK CFC

This page provides the complete NPI Profile along with additional information for Kerith Brook Cfc, a provider established in Mansfield Center, Connecticut operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1932851102 assigned on January 2022. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Michael Rivera (Owner)

NPI
1932851102 Verify this NPI
Provider Name
KERITH BROOK CFC
Entity Type
Organization
Location Address
27 PATRIOTS SQ MANSFIELD CENTER, CT 06250
Location Phone
(860) 752-4249
Mailing Address
27 PATRIOTS SQ MANSFIELD CENTER, CT 06250
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-19-2022
Last Update Date
01-19-2022
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

MICHAEL RIVERA

Authorized Official Title
OWNER
Authorized Official Phone
(607) 524-4249

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
27 PATRIOTS SQ
MANSFIELD CENTER, CT 06250

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932851102, enumerated as an "organization" on January 19, 2022.

The provider is located at 27 PATRIOTS SQ MANSFIELD CENTER, CT 06250 and the phone number is (860) 752-4249.

Clinic/Center with taxonomy code 261Q00000X.