VA-CT HEALTHCARE SYSTEM NPI 1295839900

NPI Information

  • NPI: 1295839900
  • Provider Name: VA-CT HEALTHCARE SYSTEM
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Other Name: OPIOID TREATMENT PROGRAM
  • Address: 950 CAMPBELL AVE
    BULD# 36, MAIL CODE 116 A4
    WEST HAVEN, CT
    ZIP 06516
  • Phone: (203) 932-5711

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NPI Details

VA-CT HEALTHCARE SYSTEM is a clinic center in West Haven, CT. The provider is 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). VA-CT HEALTHCARE SYSTEM NPI is 1295839900. The provider is registered as an organization entity type.
The provider Other Name Is Opioid Treatment Program.

The provider's business location address is:

950 CAMPBELL AVE
BULD# 36, MAIL CODE 116 A4
WEST HAVEN, CT
ZIP 06516-770
Phone: (203) 932-5711
Fax: (203) 937-3478

The provider's authorized official is Kishorchandra R Gonsai .
The authorized official title is Physician/psychatrymedical Director and has the following contact phone number (203) 932-5711.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center036772CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036772OTHERCONNECTICUTPHYSICIAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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