ALLISON BOMBARD LCSW
NPI 1952940140
Clinic/Center - Adult Mental Health in Meriden, CT

Active since January 05, 2020
18 LYDALE PL, MERIDEN, CT 06450(203) 514-4189 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2021, Jan 5, 2020 (2 updates tracked since 2020).

  • Organization
  • Clinic/Center
  • Adult Mental Health

About ALLISON BOMBARD LCSW

This page provides the complete NPI Profile along with additional information for Allison Bombard Lcsw, a provider established in Meriden, Connecticut operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1952940140 assigned on January 2020. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Allison Bombard Lcsw. The authorized official of this NPI record is Allison Bombard Lcsw (Owner)

NPI
1952940140 Verify this NPI
Provider Legal Name
SHADES GREENER, LLC
Other Organization Name
ALLISON BOMBARD LCSW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
18 LYDALE PL MERIDEN, CT 06450
Location Phone
(203) 514-4189
Mailing Address
18 LYDALE PL MERIDEN, CT 06450
Mailing Phone
(203) 339-2593
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-05-2020
Last Update Date
07-06-2021
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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 Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0855XAmbulatory Health Care Facilities

Clinic/Center
Adolescent and Children Mental 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

ALLISON BOMBARD LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(203) 339-2593

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952940140, enumerated as an "organization" on January 05, 2020.

The provider is located at 18 LYDALE PL MERIDEN, CT 06450 and the phone number is (203) 514-4189.

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.