Connecticut Behavioral Health Assoc, P.c. - Medicare Mental Health Clinic in New London, CT

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Connecticut Behavioral Health Assoc, P.c. is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in New London, Connecticut. The current practice location for Connecticut Behavioral Health Assoc, P.c. is 41 Fair Harbour Pl, New London, Connecticut. For appointments, you can reach them via phone at (860) 437-6914. The mailing address for Connecticut Behavioral Health Assoc, P.c. is 41 Fair Harbour Pl, New London, Connecticut and phone number is (860) 437-6914.

Connecticut Behavioral Health Assoc, P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629158126. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (860) 437-6914.

Contact Information

Connecticut Behavioral Health Assoc, P.c.
41 Fair Harbour Pl
New London
CT 06320-4710
(860) 437-6914
(860) 437-6920

Map and Direction


Mental Health Clinic Profile

Full NameConnecticut Behavioral Health Assoc, P.c.
SpecialityClinic/Center
Location41 Fair Harbour Pl, New London, Connecticut
Authorized Official Name and PositionBassam Awwa (MEDICAL DIRECTOR)
Authorized Official Contact8604376914
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Connecticut Behavioral Health Assoc, P.c.
41 Fair Harbour Pl
New London
CT 06320-4710

Ph: (860) 437-6914		Connecticut Behavioral Health Assoc, P.c.
41 Fair Harbour Pl
New London
CT 06320-4710

Ph: (860) 437-6914

NPI Details:

NPI Number1629158126
Provider Enumeration Date10/17/2006
Last Update Date11/16/2015

Medicare PECOS Information:

Medicare PECOS PAC ID4385532373
Medicare Enrollment IDO20040310000567

Medical Identifiers

Medical identifiers for Connecticut Behavioral Health Assoc, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629158126NPI-NPPES
004192324MedicaidCT
004255388MedicaidCT
008008065MedicaidCT
004199271MedicaidCT
004255411MedicaidCT
004195774MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional (* (Not Available))Secondary
103TC0700XPsychologist - Clinical (* (Not Available))Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Secondary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Connecticut Behavioral Health Assoc, P.c. acts as a billing entity for following providers:
Provider NameNancy G Miner
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1487772943
PECOS PAC ID: 7911994397
Enrollment ID: I20040428000167
Provider NameAmmar Traboulsi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1225125610
PECOS PAC ID: 1355308495
Enrollment ID: I20041210000241
Provider NameDonna G Shinn
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1932113354
PECOS PAC ID: 8820020324
Enrollment ID: I20050906000763
Provider NameRenata K Kozak
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1730124579
PECOS PAC ID: 7416962667
Enrollment ID: I20060209000462
Provider NameMaryanne Campbell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457453110
PECOS PAC ID: 6800990334
Enrollment ID: I20070322000428
Provider NameStephanie R Langlais
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043334923
PECOS PAC ID: 8527116292
Enrollment ID: I20090507000177
Provider NameLorraine Welcome
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114003944
PECOS PAC ID: 8022168756
Enrollment ID: I20090618000079
Provider NameAnn D Sawyer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336381771
PECOS PAC ID: 4688729536
Enrollment ID: I20090828000548
Provider NameBassam Awwa
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1881774354
PECOS PAC ID: 5193613198
Enrollment ID: I20091028000687
Provider NameToni C Perry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427110345
PECOS PAC ID: 6002945433
Enrollment ID: I20100524000741
Provider NameMaturin F Waldo
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629178348
PECOS PAC ID: 9436250404
Enrollment ID: I20100823000271
Provider NameRobin M Hennessey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629395652
PECOS PAC ID: 7719173962
Enrollment ID: I20101130000514
Provider NamePaula Mekkelsen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1710076419
PECOS PAC ID: 0446448997
Enrollment ID: I20101228000060
Provider NameSteven Simonson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164519591
PECOS PAC ID: 4385832831
Enrollment ID: I20101228000152
Provider NameJoan Pavlinsky
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386721983
PECOS PAC ID: 2163602046
Enrollment ID: I20110209000935
Provider NameAmanda Speicher
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376843011
PECOS PAC ID: 4183695844
Enrollment ID: I20110314000590
Provider NameDiaa Noaman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1417143603
PECOS PAC ID: 9830367556
Enrollment ID: I20110725000694
Provider NameRose Marie Zmyslinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750460770
PECOS PAC ID: 4385818533
Enrollment ID: I20111128000168
Provider NameAudrey A Allen
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1710232947
PECOS PAC ID: 6204072432
Enrollment ID: I20130413000101
Provider NameRalph Hirschfeld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144523077
PECOS PAC ID: 1658693742
Enrollment ID: I20141126001513
Provider NameErin M Corbett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1548490758
PECOS PAC ID: 6204158926
Enrollment ID: I20141209001210
Provider NameKate Leblanc
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417349754
PECOS PAC ID: 2567783848
Enrollment ID: I20150611002938
Provider NameHarold E Fischer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1427071018
PECOS PAC ID: 1355649245
Enrollment ID: I20160408001095
Provider NameEdwin G. Taetsch
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164445581
PECOS PAC ID: 5193786291
Enrollment ID: I20160719002133
Provider NamePaul Cancro
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1538388541
PECOS PAC ID: 9436488558
Enrollment ID: I20190913002240
Provider NameDebra Lee Sicilian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386101798
PECOS PAC ID: 9638400799
Enrollment ID: I20191004000406
Provider NameStanley Hospod
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1457663841
PECOS PAC ID: 2567873649
Enrollment ID: I20201120001207
Provider NameRuby Mensah
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679214555
PECOS PAC ID: 8224418041
Enrollment ID: I20220711000360
Provider NameHui Hu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548986276
PECOS PAC ID: 6103296751
Enrollment ID: I20221223000864
Provider NameKristen Fernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881301711
PECOS PAC ID: 1153787239
Enrollment ID: I20230516000144
Provider NameNatalie Ann Porter
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1861462780
PECOS PAC ID: 4486005493
Enrollment ID: I20240103004257
Provider NameNadeije Rita Ahearn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811203441
PECOS PAC ID: 6709238611
Enrollment ID: I20240116004100
Provider NameLisa Marie Tonnessen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1083713119
PECOS PAC ID: 0345692703
Enrollment ID: I20240122001841
Provider NameJames Longo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1164644126
PECOS PAC ID: 1456490002
Enrollment ID: I20240122002592
Provider NameMargaret Klinger
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1386864056
PECOS PAC ID: 9436501780
Enrollment ID: I20240123000574
Provider NameLauren Mary Franza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467179028
PECOS PAC ID: 3971956012
Enrollment ID: I20240125001413
Provider NameJohn F Sidoli
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1548330319
PECOS PAC ID: 6608210075
Enrollment ID: I20240214001375
Provider NameStephanie Gill-manville
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1376795112
PECOS PAC ID: 1951745082
Enrollment ID: I20240216002456
Provider NameJudith G Williams
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1821200924
PECOS PAC ID: 2163867557
Enrollment ID: I20240226000446

Reviews and Comments

Clinic/Center in New London, CT

Connecticut Behavioral Health Assoc. P.c.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 41 Fair Harbour Pl, New London, CT 06320
Phone: 860-437-6910    Fax: 860-437-6920
Cultivate & Grow Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 302 State St Suite 307, New London, CT 06320
Phone: 860-639-7728    
Lorraine Labarre, L.c.s.w.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 400 Bayonet St, Suite 202, New London, CT 06320
Phone: 860-443-4163    
Recover 12 Solutions, Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 70 Fuller St, New London, CT 06320
Phone: 860-389-4327    Fax: 860-574-9676
Child And Family Agency Of Southeastern Connecticut, Inc.
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7 Vauxhall St, New London, CT 06320
Phone: 860-437-4550    
Spectrum Family Therapy Pllc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 75 Granite St Ste 1b, New London, CT 06320
Phone: 860-857-4114    
Empowering Connections Llc
Mental Health Clinic
Medicare: Medicare Enrolled
Practice Location: 164 Hempstead St, New London, CT 06320
Phone: 860-910-4881    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.