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Contact Information

BRISTOL HOSPITAL MULTI-SPECIALTY GROUP, INC.
15 RIVERSIDE AVE
BRISTOL, CT06010-6312
 Phone: 860-585-9473
 Fax: 860-314-2054
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Marriage & Family Therapist

106H00000X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatric/Mental Health

364SP0808X 89 Certified Clinical Nurse Specialist
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for BRISTOL HOSPITAL MULTI SPECIALTY GROUP INC · (Female)

NPI Number 1396734109
Status Active
Credentials
Entity Individual
Enumeration date 10/14/2005
Last updated 10/10/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT Medicaid 004188985
  • CT Medicaid 004194130
  • CT Medicaid 004212982
  • CT Medicaid 004253291
  • CT Medicaid 004255445
  • CT Medicaid 004262804
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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