CONNECTICUT ADDICTION MEDICINE
NPI 1710312368
Psychiatry & Neurology - Addiction Psychiatry in Rocky Hill, CT
NPI Status: Active since September 13, 2013
Contact Information
546 CROMWELL AVE
SUITE 101
ROCKY HILL, CT
ZIP 06067
Phone: (860) 757-3874
Fax: (860) 757-3875
- Organization
- Psychiatry & Neurology
- Addiction Psychiatry
- CLIA Number: 07D2103841
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-05-2026
About CONNECTICUT ADDICTION MEDICINE
This page provides the complete NPI Profile along with additional information for Connecticut Addiction Medicine, a provider established in Rocky Hill, Connecticut operating as a Psychiatry & Neurology, focusing in addiction psychiatry . The healthcare provider is registered in the NPI registry with number 1710312368 assigned on September 2013. The practitioner's primary taxonomy code is 2084P0802X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Connecticut Addiction Medicine operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Connecticut Addiction Medicine. The authorized official of this NPI record is Tiffany Ingold Office Manager (Office Manager)
- NPI
- 1710312368
- Provider Legal Name
- CONNECTICUT ADDICTION MEDICINE, LLC
- Other Organization Name
- CONNECTICUT ADDICTION MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 546 CROMWELL AVE SUITE 101 ROCKY HILL, CT 06067
- Location Phone
- (860) 757-3874
- Location Fax
- (860) 757-3875
- Mailing Address
- 546 CROMWELL AVE SUITE 101 ROCKY HILL, CT 06067
- Mailing Phone
- (860) 757-3874
- Mailing Fax
- (860) 757-3875
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-13-2013
- Last Update Date
- 04-19-2017
- Code Navigator
Location Map
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
Psychiatry & Neurology Addiction Psychiatry
- Taxonomy Code
- 2084P0802X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders.
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) |
|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | |
| 2 | 207QA0401X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 207RA0401X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 2084A0401X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 5 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 6 | 291U00000X | Laboratories | Clinical Medical Laboratory | CLPOL0509 (CT) |
| 7 | 363LA2200X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | (CT) |
| 8 | 364SP0808X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 07D2103841
- Facility Type
- Physician Office
- Certificate Effective Date
- September 06, 2024
- Certificate Expiration Date
- September 05, 2026
- Laboratory Director
- THOMAS J. TINGHITELLA
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Connecticut Addiction Medicine after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 1 | 0 | 3 | 1 | 2 | 3 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 6 | 1 | 4 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 6 + 1 + 4 + 3 + 1 + 2 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1710312368 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063464311 | MRS. JENNIFER LINDWALL SCHWAB MD Individual | Pediatrics | 546 CROMWELL AVE ROCKY HILL, CT 06067 (860) 721-7561 |
| 1972555225 | MR. JOHN JOSEPH FOTE MD Individual | Pediatrics | 546 CROMWELL AVE ROCKY HILL, CT 06067 (860) 721-7561 |
| 1407979982 | DR. KATHRYN E LITWIN MD Individual | Pediatrics | 546 CROMWELL AVE ROCKY HILL, CT 06067 (860) 721-7561 |
| 1568642346 | ROCKY HILL PEDIATRICS, LLC Organization | Pediatrics | 546 CROMWELL AVE ROCKY HILL, CT 06067 (860) 721-7561 |
| 1417052655 | ELIZABETH C WINKLER APRN Individual | Nurse Practitioner (Obstetrics & Gynecology) | 546 CROMWELL AVE ROCKY HILL, CT 06067 (860) 529-7501 |
| 1841481579 | BRIAN JAMES RILEY D.O. Individual | Obstetrics & Gynecology | 546 CROMWELL AVE SUITE 100 ROCKY HILL, CT 06067 (860) 714-9010 |
| 1720017056 | DR. JAY B BENSON M.D. Individual | Internal Medicine (Addiction Medicine) | 546 CROMWELL AVE SUITE 101 ROCKY HILL, CT 06067 (860) 757-3874 |
| 1801094479 | DR. MAHBOOB AHMAD ASLAM MD Individual | Psychiatry & Neurology (Addiction Medicine) | 546 CROMWELL AVE SUITE 101 ROCKY HILL, CT 06067 (860) 757-3874 |
| 1285642611 | ROBERT DARIUSZ BOGACKI MD Individual | Internal Medicine | 546 CROMWELL AVE SUITE 201 ROCKY HILL, CT 06067 (860) 257-9600 |
| 1063432870 | DR. KEVIN FREDERICK STRONG MD Individual | Pediatrics | 546 CROMWELL AVE ROCKY HILL, CT 06067 (860) 529-6124 |
| 1326016726 | EDITH HERGAN M.D. Individual | Internal Medicine (Addiction Medicine) | 546 CROMWELL AVE SUITE 101 ROCKY HILL, CT 06067 (847) 477-3809 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710312368, enumerated in the NPI registry as an "organization" on September 13, 2013
The provider is located at 546 Cromwell Ave Suite 101 Rocky Hill, Ct 06067 and the phone number is (860) 757-3874
This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084P0802X with a focus in Addiction Psychiatry
The provider's CLIA number is 07D2103841 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on September 13, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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