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CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
NPI 1962750539
Clinic/Center in Mystic, CT

Active since August 29, 2012
160 FISHTOWN RD, MYSTIC, CT 06355(860) 572-4448(860) 572-4414 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2019, Apr 16, 2019 (2 updates tracked since 2019).

About Child And Family Agency Of Southeastern Connecticut, Inc. NPPES

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

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC. (NPI 1962750539) is a healthcare organization registered as a clinic/center in Mystic, Connecticut and active in the NPI registry since August 2012. The organization lists Lisa Baxter, Chief Financial And Admin Officer, as its authorized official.

NPPES Registry Identity

NPI1962750539
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Location Address160 FISHTOWN RDMystic, CT 06355-2012
Mailing Address255 Hempstead StNew London, CT 06320-6204 · (860) 443-2896 · Fax (860) 442-5909
Phone(860) 572-4448
Fax(860) 572-4414
Organization SubpartNo
Authorized OfficialLisa BaxterChief Financial And Admin Officer · (860) 443-2896
Enumeration DateAugust 29, 2012
Last NPPES UpdateJune 20, 20192 updates tracked since enumeration
✔ NPI 1962750539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
160 FISHTOWN RD, Mystic, CT 06355
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Other Identifiers 1

Medicaid008042282CT

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHILD AND FAMILY AGENCY OF SOUTHEASTERN CONNECTICUT, INC.
Clinic/Center
160 FISHTOWN RD
MYSTIC, CT 06355
Southeastern Connecticut Planning Region (860) 980-8330

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 Child And Family Agency Of Southeastern Connecticut, Inc.'s NPI number?

The NPI number for Child And Family Agency Of Southeastern Connecticut, Inc. is 1962750539. It was assigned to this organization in the NPPES registry on August 29, 2012.

Where is Child And Family Agency Of Southeastern Connecticut, Inc. located?

Child And Family Agency Of Southeastern Connecticut, Inc. is located at 160 Fishtown Rd, Mystic, CT 06355. The listed phone number is (860) 572-4448.

What is Child And Family Agency Of Southeastern Connecticut, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Child And Family Agency Of Southeastern Connecticut, Inc. was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.